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General NPI Number Information
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NPI Number | 1013381722
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Entity Type | Organization
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Legal Business Name | BUCKS COUNTY ANXIETY CENTER
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 4 TERRY DRIVE SUITE 11
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City | NEWTOWN
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State | PA
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Zip | 18940
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Country | US
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Telephone | 917-693-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 4 TERRY DRIVE SUITE 11
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City | NEWTOWN
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State | PA
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Zip | 18940
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Country | US
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Telephone | 917-693-9880
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. RONIT YAEL LEVY
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Credential | PSY.D.
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Telephone | 917-693-9880
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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 | PS016349
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License Number State | PA
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