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General NPI Number Information
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NPI Number | 1881174290
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Entity Type | Organization
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Legal Business Name | HEARTWORK PSYCHOLOGY, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 2529 24TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3508
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Country | US
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Telephone | 530-727-8872
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Fax |
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Provider Business Mailing Address
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Address Line | 2529 24TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3508
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Country | US
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Telephone | 530-727-8872
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Fax |
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | DR. BARBARA HOOKS
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Credential | PSYD
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Telephone | 530-727-8872
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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 | PSY28749
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY28749
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | PSY28749
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY29389
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License Number State | CA
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