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General NPI Number Information
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NPI Number | 1952550451
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL ASSOCIATES
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 7300 W COLLEGE DR SUITE 205
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1152
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Country | US
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Telephone | 708-761-3228
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Fax | 708-761-3228
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Provider Business Mailing Address
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Address Line | 7300 W COLLEGE DR SUITE 205
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1152
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Country | US
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Telephone | 708-761-3228
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Fax | 708-761-3229
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | DR. SHARON A SAAD
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Credential | PSY.D, LCPC
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Telephone | 708-761-3228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 071.007500
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180-004207
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License Number State | IL
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