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General NPI Number Information
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NPI Number | 1972396513
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Entity Type | Organization
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Legal Business Name | OPTIMA FORENSIC PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 2700 RESEARCH FOREST DR STE 130
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City | THE WOODLANDS
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State | TX
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Zip | 77381-4252
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Country | US
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Telephone | 281-528-4226
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 RESEARCH FOREST DR STE 130
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City | THE WOODLANDS
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State | TX
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Zip | 77381-4252
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Country | US
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Telephone | 281-528-4226
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SARAH HOLUB
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Credential | M.ED.
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Telephone | 281-528-4226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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