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General NPI Number Information
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NPI Number | 1942609938
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL ASSESSMENT SOLUTIONS
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 641 S STREET NW THIRD FLOOR
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City | WASHINGTON
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State | DC
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Zip | 20001
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Country | US
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Telephone | 703-200-4193
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Fax |
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Provider Business Mailing Address
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Address Line | 641 S STREET NW THIRD FLOOR
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City | WASHINGTON
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State | DC
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Zip | 20001
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Country | US
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Telephone | 703-200-4193
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Fax |
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Authorized Official
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Title or Position | FOUNDER / DIRECTOR
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Name | DR. RICHARD P FLEITAS
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Credential | PSY.D.
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Telephone | 703-200-4193
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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 | PSY1000395
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License Number State | DC
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