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General NPI Number Information
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NPI Number | 1679374540
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Entity Type | Organization
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Legal Business Name | JESSICA BYRD-OLMSTEAD, PH.D., INC.
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 582 LIGHTHOUSE AVE STE 21
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-2675
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Country | US
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Telephone | 408-409-5107
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Fax |
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Provider Business Mailing Address
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Address Line | 582 LIGHTHOUSE AVE STE 21
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-2675
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Country | US
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Telephone | 408-409-5107
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JESSICA BYRD-OLMSTEAD
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Credential | PH.D.
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Telephone | 408-409-5107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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