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General NPI Number Information
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NPI Number | 1023510450
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Entity Type | Individual
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Provider Name | JOSHUA LAWRENCE KORTH PSY.D
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Gender | Male
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 5 W 86TH ST APT 2C
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City | NEW YORK
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State | NY
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Zip | 10024-3663
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Country | US
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Telephone | 929-269-6850
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Fax |
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Provider Business Mailing Address
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Address Line | 170 W 89TH ST APT 3A
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City | NEW YORK
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State | NY
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Zip | 10024-1911
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Country | US
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Telephone | 240-793-5662
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 022581
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License Number State | NY
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