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General NPI Number Information
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NPI Number | 1770144578
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Entity Type | Organization
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Legal Business Name | G. P. R. PSYCHOLOGICAL SERVICES INC.
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 10737 LAUREL ST STE 235
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3837
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Country | US
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Telephone | 909-929-2720
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Fax |
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Provider Business Mailing Address
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Address Line | 10737 LAUREL ST STE 235
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3837
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Country | US
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Telephone | 909-929-2720
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. GLENDA PAOLA RAMOS
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Credential | PSY.D.
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Telephone | 818-426-0732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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