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General NPI Number Information
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NPI Number | 1851205256
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Entity Type | Organization
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Legal Business Name | PACIFIC BRAIN HEALTH & WELLNESS INC.
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 871 CASS ST STE 210
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City | MONTEREY
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State | CA
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Zip | 93940-2917
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Country | US
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Telephone | 831-288-5865
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Fax | 206-474-3601
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Provider Business Mailing Address
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Address Line | 871 CASS ST STE 210
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City | MONTEREY
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State | CA
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Zip | 93940-2917
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Country | US
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Telephone | 831-288-5865
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Fax | 206-474-3601
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Authorized Official
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Title or Position | CEO
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Name | DR. LARISSA D DEL PIERO
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Credential | PHD
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Telephone | 831-288-5865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | NULL
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