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General NPI Number Information
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NPI Number | 1841858982
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Entity Type | Organization
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Legal Business Name | TERRI ORDAHL PSY D PLLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 102 E MOORE AVE STE 225
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City | TERRELL
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State | TX
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Zip | 75160-3244
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Country | US
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Telephone | 903-340-9915
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Fax |
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Provider Business Mailing Address
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Address Line | 11247 GLENN LN
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City | SCURRY
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State | TX
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Zip | 75158-3707
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Country | US
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Telephone | 903-340-9915
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. TERRI LEA ORDAHL
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Credential | PSY. D
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Telephone | 903-340-9915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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