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General NPI Number Information
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NPI Number | 1912254954
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Entity Type | Organization
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Legal Business Name | SPECIALIZED PSYCHOLOGY SOLUTIONS
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 3605 E RAMON RD
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City | PALM SPRINGS
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State | CA
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Zip | 92264-1150
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Country | US
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Telephone | 765-375-5630
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 E RAMON RD
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City | PALM SPRINGS
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State | CA
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Zip | 92264-1150
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Country | US
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Telephone | 765-375-5630
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ADAM W CASH
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Credential | PHD.
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Telephone | 765-375-5630
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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