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General NPI Number Information
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NPI Number | 1881284719
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Entity Type | Organization
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Legal Business Name | MORNINGSTAR EDUCATIONAL & PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 1901 ORANGE TREE LN STE 220
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City | REDLANDS
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State | CA
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Zip | 92374-4582
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Country | US
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Telephone | 909-435-7189
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Fax | 909-922-7580
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Provider Business Mailing Address
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Address Line | 1901 ORANGE TREE LN STE 220
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City | REDLANDS
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State | CA
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Zip | 92374-4582
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Country | US
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Telephone | 909-435-7189
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Fax | 909-922-7580
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Authorized Official
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Title or Position | OWNER
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Name | DR. CONNIE MCREYNOLDS
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Credential | PH.D
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Telephone | 909-435-7189
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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 |
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License Number State |
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