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NEUROPSYCHOLOGICAL TECHNICAL REGISTRATION REQUEST Please provide a separate request for each technician and/or supervising Psychologist PLEASE TYPE OR PRINT CLEARLY Date: Supervising Psychologist
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Who needs licensed psychologist attestation of?

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Licensed psychologist attestation is needed by individuals who are licensed psychologists or those who need to validate the credentials and qualifications of a licensed psychologist.
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In some cases, other professionals or organizations may also require a licensed psychologist attestation to verify the qualifications or expertise of a psychologist they are working with or referring clients to.
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Licensed psychologist attestation is a formal declaration made by a licensed psychologist affirming that they have met the required standards or criteria set by a governing body or regulatory authority.
Licensed psychologists who are seeking to renew their license, comply with continuing education requirements, or affirm their adherence to professional standards are typically required to file a licensed psychologist attestation.
To fill out the licensed psychologist attestation, individuals should provide their personal details, license number, affirm compliance with required standards, and possibly report on continuing education credits or relevant activities.
The purpose of licensed psychologist attestation is to ensure that psychologists maintain their qualifications and adhere to ethical and professional standards necessary for practice.
Information typically reported on the licensed psychologist attestation includes personal identification details, license status, compliance with continuing education requirements, and any disciplinary actions taken against the psychologist.
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