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General NPI Number Information
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NPI Number | 1821368820
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL CENTER FOR EXPERT EVALUATIONS, INC.
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 3309 NORTHLAKE BLVD SUITE 204
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33403-1705
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Country | US
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Telephone | 561-429-2140
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Fax | 561-318-5896
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Provider Business Mailing Address
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Address Line | 3309 NORTHLAKE BLVD SUITE 204
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33403-1705
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Country | US
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Telephone | 561-429-2140
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Fax | 561-318-5896
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Authorized Official
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Title or Position | PRESIDENT/LICENSED PSYCHOLOGIST
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Name | DR. KRISTIN MICHELLE TOLBERT
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Credential | PSY.D.
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Telephone | 561-262-6109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PY8460
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License Number State | FL
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