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General NPI Number Information
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NPI Number | 1780492637
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Entity Type | Organization
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Legal Business Name | HEAD STRONG & READY TEXAS
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 5755 OBERLIN DR STE 203
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City | SAN DIEGO
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State | CA
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Zip | 92121-1786
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Country | US
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Telephone | 858-362-5331
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 FM 407 E STE 145 PMB 159
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City | BARTONVILLE
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State | TX
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Zip | 76226
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Country | US
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Telephone | 945-218-5800
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. JUDY D LAMB
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Credential | PH.D.
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Telephone | 945-218-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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