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General NPI Number Information
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NPI Number | 1720295728
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL HEALTH SERVICES INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 5510 PGA BLVD SUITE 213
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3980
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Country | US
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Telephone | 561-622-7722
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Fax | 561-627-5577
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Provider Business Mailing Address
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Address Line | 5510 PGA BLVD SUITE 213
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3980
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Country | US
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Telephone | 561-622-7722
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Fax | 561-627-5577
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Authorized Official
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Title or Position | PRESIDENT/PSYCHOLOGIST
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Name | DR. LISA SCHULMAN
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Credential | PHD
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Telephone | 561-622-7722
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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 |
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License Number State |
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