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General NPI Number Information
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NPI Number | 1629477724
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Entity Type | Individual
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Provider Name | KATRINA BELEN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1404 GABLES CT STE 102
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City | PLANO
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State | TX
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Zip | 75075-7647
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Country | US
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Telephone | 214-548-4803
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Fax | 888-974-0364
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Provider Business Mailing Address
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Address Line | 1404 GABLES CT STE 102
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City | PLANO
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State | TX
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Zip | 75075-7647
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Country | US
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Telephone | 214-548-4803
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Fax | 888-974-0364
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 34982
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License Number State | TX
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