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General NPI Number Information
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NPI Number | 1730557109
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PSYCHOTHERAPY SERVICES OF SAN DIEGO, INC.
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 08/10/2019
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Provider Practice Location Address
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Address Line | 9233 PARK MEADOWS DR STE 227
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City | LONE TREE
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State | CO
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Zip | 80124-5426
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Country | US
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Telephone | 720-445-9468
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Fax | 720-210-9777
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Provider Business Mailing Address
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Address Line | 9233 PARK MEADOWS DR STE 227
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City | LONE TREE
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State | CO
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Zip | 80124-5426
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Country | US
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Telephone | 720-445-9468
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Fax | 720-210-9777
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST, OWNER
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Name | DANA TORPEY-NEWMAN
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Credential | PHD
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Telephone | 720-445-9468
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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 | PSY 24375
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY 25968
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY 27289
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY24358
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License Number State | CA
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