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NPI 1619199510

NPI 1619199510 : STEPHEN J. TERRELL PSYD, LPC, RPT : PFLUGERVILLE, TX

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General NPI Number Information
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    NPI Number           |    1619199510
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN J. TERRELL PSYD, LPC, RPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/02/2007
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    Last Update Date     |    12/28/2025
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Provider Practice Location Address
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    Address Line         |    800 HARVARD DR 
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    City                 |    PFLUGERVILLE
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    State                |    TX
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    Zip                  |    78660-4744
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    Country              |    US
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    Telephone            |    512-206-0260
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    Fax                  |    512-206-0030
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Provider Business Mailing Address
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    Address Line         |    800 HARVARD DR 
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    City                 |    PFLUGERVILLE
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    State                |    TX
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    Zip                  |    78660-4744
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    Country              |    US
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    Telephone            |    512-206-0260
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    Fax                  |    512-206-0030
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    15575
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    License Number State |    TX
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