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General NPI Number Information
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NPI Number | 1730973728
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Entity Type | Individual
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Provider Name | ALYSON MATHEWSON ED.S., NCSP
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 4025 LIONCREST LN
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City | THOMPSONS STATION
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State | TN
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Zip | 37179-2945
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Country | US
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Telephone | 909-225-6852
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Fax |
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Provider Business Mailing Address
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Address Line | 2989 FALCONBERG DR
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City | LA VERNE
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State | CA
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Zip | 91750-2373
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Country | US
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Telephone | 909-225-6852
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 000754835
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License Number State | TN
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