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General NPI Number Information
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NPI Number | 1740570043
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Entity Type | Individual
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Provider Name | GENEVIEVE ANN BARTUSKI PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 825 WATTERS CREEK BLVD STE 250
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City | ALLEN
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State | TX
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Zip | 75013-3770
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Country | US
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Telephone | 888-562-7818
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Fax | 469-713-2432
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Provider Business Mailing Address
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Address Line | 825 WATTERS CREEK BLVD STE 250
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City | ALLEN
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State | TX
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Zip | 75013-3770
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Country | US
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Telephone | 888-562-7818
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Fax | 469-713-2432
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 40522
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 40522
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 40522
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License Number State |
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