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General NPI Number Information
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NPI Number | 1013346840
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Entity Type | Organization
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Legal Business Name | THE PSYCHOLOGY AND MINDFULNESS CENTER, PLLC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 446 N READING RD SUITE 204
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City | EPHRATA
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State | PA
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Zip | 17522-9802
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Country | US
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Telephone | 717-466-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 446 N READING RD SUITE 204
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City | EPHRATA
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State | PA
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Zip | 17522-9802
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Country | US
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Telephone | 717-466-6565
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. AIMEE E. TODD
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Credential | PSYD
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Telephone | 717-466-6565
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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 | PS016285
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License Number State | PA
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