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General NPI Number Information
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NPI Number | 1720795941
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Entity Type | Organization
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Legal Business Name | BETTER PSYCH SERVICES CORP
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 21515 HAWTHORNE BLVD STE 200
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City | TORRANCE
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State | CA
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Zip | 90503-6512
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Country | US
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Telephone | 661-234-6001
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Fax | 661-459-5076
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Provider Business Mailing Address
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Address Line | 21213B HAWTHORNE BLVD # 5647
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City | TORRANCE
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State | CA
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Zip | 90503-5501
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Country | US
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Telephone | 661-234-6001
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Fax | 661-459-5076
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Authorized Official
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Title or Position | CLINICAL FORENSIC PSYCHOLOGIST
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Name | DR. JAZZMIN T HICKS-BONAM
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Credential | PSYD
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Telephone | 661-234-6001
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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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