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General NPI Number Information
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NPI Number | 1609068782
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Entity Type | Organization
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Legal Business Name | ELISABETH R. CRIM, PH.D. PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 3424 W CARSON ST SUITE 580
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City | TORRANCE
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State | CA
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Zip | 90503-5701
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Country | US
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Telephone | 310-371-2800
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Fax | 310-371-2844
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Provider Business Mailing Address
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Address Line | 3424 W CARSON ST SUITE 580
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City | TORRANCE
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State | CA
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Zip | 90503-5701
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Country | US
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Telephone | 310-371-2800
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Fax | 310-371-2844
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Authorized Official
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Title or Position | CEO, PSYCHOLOGIST
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Name | DR. ELISABETH R CRIM
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Credential | PH.D.
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Telephone | 310-371-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | PSY17770
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License Number State | CA
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