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General NPI Number Information
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NPI Number | 1891844643
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PSYCHOLOGICAL ASSOCIATES
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 16311 VENTURA BLVD. SUITE 1050
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City | ENCINO
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State | CA
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Zip | 91436
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Country | US
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Telephone | 818-752-3330
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Fax | 818-508-4820
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Provider Business Mailing Address
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Address Line | P.O. BOX 4368
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City | VALLEY VILLAGE
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State | CA
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Zip | 91617
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Country | US
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Telephone | 818-752-3330
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Fax | 818-508-4820
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY A. HALOTE
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Credential | PH. D.
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Telephone | 818-752-3330
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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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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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