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General NPI Number Information
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NPI Number | 1912522079
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Entity Type | Organization
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Legal Business Name | TRUE NORTH PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 06/14/2020
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 204 W HIGHLAND AVE
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City | ROBINSON
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State | IL
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Zip | 62454-1710
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Country | US
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Telephone | 812-269-2306
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Fax | 812-602-0078
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Provider Business Mailing Address
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Address Line | PO BOX 854
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City | ROBINSON
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State | IL
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Zip | 62454-0854
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Country | US
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Telephone | 812-269-2306
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | VALERIE MICHELE WECK
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Credential | PH.D.
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Telephone | 812-269-2306
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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 |
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License Number State |
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