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General NPI Number Information
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NPI Number | 1932963774
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Entity Type | Organization
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Legal Business Name | NEUROHEALTH SPECIALISTS, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 3020 OLD RANCH PKWY STE 328
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City | SEAL BEACH
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State | CA
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Zip | 90740-2751
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Country | US
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Telephone | 562-477-5674
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Fax | 562-800-6105
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Provider Business Mailing Address
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Address Line | 3020 OLD RANCH PKWY STE 328
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City | SEAL BEACH
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State | CA
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Zip | 90740-2751
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Country | US
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Telephone | 562-477-5674
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Fax | 562-800-6105
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Authorized Official
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Title or Position | OWNER
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Name | ANITA H. HAMILTON
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Credential | PHD
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Telephone | 562-477-5674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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