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General NPI Number Information
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NPI Number | 1750743662
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Entity Type | Organization
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Legal Business Name | ANSELMI PSYCHOLOGY GROUP, INC.
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 406 MAIN ST SUITE 402
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City | WATSONVILLE
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State | CA
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Zip | 95076-4613
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Country | US
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Telephone | 831-288-2086
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Fax |
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Provider Business Mailing Address
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Address Line | 406 MAIN ST SUITE 402
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City | WATSONVILLE
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State | CA
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Zip | 95076-4613
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Country | US
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Telephone | 831-288-2086
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. SHERI M ANSELMI
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Credential |
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Telephone | 831-288-2086
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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 | PSY17389
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License Number State | CA
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