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General NPI Number Information
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NPI Number | 1013796655
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Entity Type | Organization
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Legal Business Name | MCBRIDE PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 84 SWEENEY ST STE C3
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-5822
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Country | US
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Telephone | 716-296-4745
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Fax |
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Provider Business Mailing Address
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Address Line | 84 SWEENEY ST STE C3
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-5822
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Country | US
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Telephone | 716-296-4745
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Fax | 425-697-9884
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE MCBRIDE
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Credential | PSY.D.
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Telephone | 716-296-4745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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