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General NPI Number Information
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NPI Number | 1619192309
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY ASSOCIATES OF GARDEN GROVE, CORP
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1333 S. EUCLID ST.
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City | ANAHEIM
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State | CA
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Zip | 92802-2008
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Country | US
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Telephone | 714-533-7348
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Fax | 714-533-7398
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Provider Business Mailing Address
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Address Line | 1333 S. EUCLID ST.
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City | ANAHEIM
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State | CA
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Zip | 92802
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Country | US
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Telephone | 714-533-7348
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Fax | 714-533-7398
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Authorized Official
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Title or Position | OWNER
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Name | LINDA L. SCHNAIBLE
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Credential | MFT SAP PH.D.
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Telephone | 714-533-7348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37007
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License Number State | CA
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