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General NPI Number Information
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NPI Number | 1821918327
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Entity Type | Organization
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Legal Business Name | SOUL SHINING PSYCHOLOGY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 5938 PRIESTLY DR STE 103
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City | CARLSBAD
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State | CA
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Zip | 92008-8847
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Country | US
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Telephone | 442-264-7148
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Fax |
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Provider Business Mailing Address
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Address Line | 3243 CRECIDA WAY
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City | CARLSBAD
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State | CA
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Zip | 92010-5663
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Country | US
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Telephone | 303-909-9935
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARIANNA ZABRISKIE
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Credential | PSYD
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Telephone | 303-909-9935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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