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General NPI Number Information
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NPI Number | 1811815798
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Entity Type | Organization
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Legal Business Name | EMPOWER PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 25 1ST AVE SW STE A
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City | WATERTOWN
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State | SD
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Zip | 57201-3507
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Country | US
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Telephone | 605-460-6042
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Fax |
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Provider Business Mailing Address
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Address Line | 706 W 4TH AVE
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City | REDFIELD
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State | SD
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Zip | 57469-1040
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | STEPHANIE SORENSEN
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Credential | LP
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Telephone | 605-460-6042
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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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