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General NPI Number Information
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NPI Number | 1932716222
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Entity Type | Organization
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Legal Business Name | CHANGING DIRECTIONS PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 17280 NEWHOPE STREET SUITE 4
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-434-3980
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Fax | 714-434-3981
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Provider Business Mailing Address
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Address Line | 17280 NEWHOPE STREET SUITE 4
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-434-3980
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Fax | 714-434-3981
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Authorized Official
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Title or Position | CFO
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Name | PAULA ABIGAIL INGE-LINCHIM
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Credential | LMFT
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Telephone | 714-434-3980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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