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General NPI Number Information
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NPI Number | 1891035747
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Entity Type | Organization
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Legal Business Name | HEALTH PSYCHOLOGY CENTER, P.C.
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 2181 S EL CAMINO REAL STE 204
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City | OCEANSIDE
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State | CA
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Zip | 92054-6288
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Country | US
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Telephone | 760-439-9331
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Fax |
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Provider Business Mailing Address
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Address Line | 2181 S EL CAMINO REAL STE 204
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City | OCEANSIDE
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State | CA
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Zip | 92054-6288
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Country | US
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Telephone | 760-439-9331
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHERYL ANN MACDONALD
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Credential | PSY.D.
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Telephone | 760-439-9331
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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 | PSY17137
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License Number State | CA
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