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General NPI Number Information
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NPI Number | 1033919329
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Entity Type | Organization
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Legal Business Name | OFFICES OF DR MEGAN MANSFIELD, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 03/15/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 139 S LOS ROBLES AVE UNIT 202
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City | PASADENA
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State | CA
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Zip | 91101-2488
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Country | US
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Telephone | 424-278-4225
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 E COLORADO BLVD UNIT 3420
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City | PASADENA
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State | CA
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Zip | 91106-1932
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO & CLINICAL PSYCHOLOGIST
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Name | DR. MEGAN MANSFIELD
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Credential |
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Telephone | 917-440-4058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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