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General NPI Number Information
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NPI Number | 1649733866
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Entity Type | Organization
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Legal Business Name | Q PSYCHOLOGY GROUP, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 04/14/2019
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 225 AVENUE I STE 204
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5608
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Country | US
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Telephone | 424-903-6520
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Fax |
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Provider Business Mailing Address
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Address Line | 225 AVENUE I STE 204
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5608
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. CRYSTAL L QUARRY
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Credential | PSYD
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Telephone | 424-903-6520
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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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