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General NPI Number Information
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NPI Number | 1962843797
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL PSYCHOLOGICAL AND CONSULTING SERVICES, INC.
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 09/09/2019
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Provider Practice Location Address
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Address Line | 113 SOUTH PATRICK STREET SUITE 203
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City | ALEXANDRIA
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State | VA
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Zip | 22314
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Country | US
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Telephone | 703-309-3185
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Fax | 703-544-7817
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Provider Business Mailing Address
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Address Line | 3809-A ELBERT AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22305
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Country | US
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Telephone | 703-309-3185
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Fax | 703-544-7817
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Authorized Official
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Title or Position | CEO/CLINICAL PSYCHOLOGIST
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Name | DR. DENNIS J HUNT
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Credential | PHD
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Telephone | 703-309-3185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0810001850
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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