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General NPI Number Information
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NPI Number | 1972402048
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Entity Type | Organization
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Legal Business Name | ASTRAL PSYCHOLOGICAL EVALAUTIONS AND CONSULTATION
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 5701 80TH AVENUE CT W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-3980
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Country | US
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Telephone | 253-353-2340
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 80TH AVENUE CT W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-3980
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Country | US
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Telephone | 253-353-2340
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRYAN ZOLNIKOV
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Credential | PH.D.
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Telephone | 402-730-6963
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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 |
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License Number State |
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