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General NPI Number Information
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NPI Number | 1700287927
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Entity Type | Organization
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Legal Business Name | M & N PSYCHOLOGICAL, PLLC
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 2656 S LOOP W SUITE 540
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City | HOUSTON
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State | TX
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Zip | 77054-2664
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Country | US
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Telephone | 832-294-4412
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Fax |
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Provider Business Mailing Address
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Address Line | 2656 S LOOP W SUITE 540
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City | HOUSTON
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State | TX
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Zip | 77054-2664
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Country | US
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Telephone | 832-294-4412
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. WILLIAM ELTON METCALFE
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Credential | PH.D.
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Telephone | 832-294-4412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 31250
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License Number State | TX
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