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General NPI Number Information
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NPI Number | 1992175186
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Entity Type | Organization
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Legal Business Name | OJEDA PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 535 E FERNHURST DR SUITE 107
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City | KATY
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State | TX
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Zip | 77450-1431
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Country | US
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Telephone | 979-820-7024
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Fax |
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Provider Business Mailing Address
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Address Line | 535 E FERNHURST DR SUITE 107
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City | KATY
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State | TX
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Zip | 77450-1431
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | LIZETTE OJEDA
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Credential | PHD
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Telephone | 979-820-7024
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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 | 36264
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 36264
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License Number State | TX
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