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General NPI Number Information
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NPI Number | 1972454270
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Entity Type | Organization
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Legal Business Name | HOLDING SPACE PSYCHOLOGY
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 6850 AUSTIN CENTER BLVD STE 320
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City | AUSTIN
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State | TX
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Zip | 78731-3154
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Country | US
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Telephone | 512-688-6502
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Fax |
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Provider Business Mailing Address
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Address Line | 6850 AUSTIN CENTER BLVD STE 320
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City | AUSTIN
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State | TX
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Zip | 78731-3154
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Country | US
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Telephone | 512-688-6502
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | JASMINE GHANNADPOUR
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Credential | PHD
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Telephone | 214-934-0683
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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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