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General NPI Number Information
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NPI Number | 1740153717
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Entity Type | Organization
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Legal Business Name | GROVE PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 723 TWINRIDGE LN
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5270
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Country | US
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Telephone | 804-206-9130
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Fax |
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Provider Business Mailing Address
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Address Line | 723 TWINRIDGE LN
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5270
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Country | US
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Telephone | 804-206-9130
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED CLINICAL PSYCHOLOGIS
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Name | DR. JESSICA GROVE
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Credential | PSYD
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Telephone | 856-812-1357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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