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General NPI Number Information
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NPI Number | 1750739603
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Entity Type | Organization
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Legal Business Name | WEST UNIVERSITY PSYCHOLOGICAL ASSOCIATES
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 1712 SUNSET BLVD
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City | HOUSTON
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State | TX
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Zip | 77005-1714
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Country | US
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Telephone | 713-927-7514
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 SUNSET BLVD
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City | HOUSTON
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State | TX
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Zip | 77005-1714
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Country | US
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Telephone | 713-927-7514
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | CATHERINE BOSWELL
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Credential | PHD PSYCHOLOGIST
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Telephone | 713-927-7514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 34766
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License Number State | TX
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