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General NPI Number Information
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NPI Number | 1639061245
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Entity Type | Organization
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Legal Business Name | WAYPOINT CLINICAL & FORENSIC PSYCHOLOGY
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 8500 N MOPAC EXPY STE 901
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City | AUSTIN
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State | TX
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Zip | 78759-8348
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Country | US
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Telephone | 512-200-2516
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 N MOPAC EXPY STE 901
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City | AUSTIN
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State | TX
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Zip | 78759-8348
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Country | US
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Telephone | 512-200-2516
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ZACKERY TEDDER
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Credential | PSYD
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Telephone | 512-200-2516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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