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General NPI Number Information
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NPI Number | 1871821561
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Entity Type | Organization
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Legal Business Name | SOLUTION PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 100 S MAPLE ST. #204
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City | WATERTOWN
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State | SD
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Zip | 57201-6596
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Country | US
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Telephone | 605-237-2514
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Fax | 605-758-2304
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Provider Business Mailing Address
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Address Line | PO BOX 1596 100 S MAPLE ST. #204
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City | WATERTOWN
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State | SD
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Zip | 57201-6596
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Country | US
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Telephone | 605-237-2514
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Fax | 605-758-2304
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MELINDA JANE YEXLEY
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Credential | PH. D.
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Telephone | 605-237-2514
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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 | 463
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License Number State | SD
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