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General NPI Number Information
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NPI Number | 1952850711
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Entity Type | Organization
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Legal Business Name | DRM PSYCHOLOGICAL SERVICES CORPORATION
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 1191 E WALNUT ST SUITE 102
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City | PASADENA
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State | CA
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Zip | 91106-1868
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Country | US
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Telephone | 626-384-8361
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Fax | 626-270-4011
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Provider Business Mailing Address
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Address Line | 300 E BONITA AVE UNIT 4068
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City | SAN DIMAS
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State | CA
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Zip | 91773-6198
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Country | US
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Telephone | 626-384-8361
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Fax | 626-270-4011
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/CEO
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Name | DR. DONSHA D. ROBINSON-MCCLAIN
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Credential | PSY.D.
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Telephone | 626-384-8361
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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 | 19692
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License Number State | CA
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