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General NPI Number Information
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NPI Number | 1982539664
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Entity Type | Organization
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Legal Business Name | SERENIDAD PSYCHOLOGY LLC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 139 RIVER VISTA PL STE 201
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City | TWIN FALLS
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State | ID
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Zip | 83301-3060
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Country | US
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Telephone | 208-858-5175
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Fax | 208-858-5175
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Provider Business Mailing Address
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Address Line | 139 RIVER VISTA PL STE 201
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City | TWIN FALLS
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State | ID
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Zip | 83301-3060
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Country | US
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Telephone | 208-858-5175
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Fax | 208-858-5175
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Authorized Official
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Title or Position | LPC
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Name | DR. NOHEMI VASQUEZ
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Credential | PHD
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Telephone | 208-858-5175
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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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