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General NPI Number Information
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NPI Number | 1053035675
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Entity Type | Organization
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Legal Business Name | BE YOU PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 5 W 86TH ST APT 1C
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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 | 917-770-3815
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Fax |
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Provider Business Mailing Address
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Address Line | 163 W 79TH ST APT 4R
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City | NEW YORK
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State | NY
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Zip | 10024-6486
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Country | US
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Telephone | 917-770-3815
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | COURTNEY YOU
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Credential | PSYD
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Telephone | 917-770-3815
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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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