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General NPI Number Information
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NPI Number | 1073084349
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Entity Type | Organization
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Legal Business Name | CATHY FORREST, MA, LLP PLC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 255 SEMINOLE ROAD SUITE-205
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City | MUSKEGON
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State | MI
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Zip | 49444
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Country | US
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Telephone | 231-730-4747
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Fax | 231-799-9140
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Provider Business Mailing Address
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Address Line | 255 SEMINOLE ROAD SUITE-205
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City | MUSKEGON
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State | MI
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Zip | 49444
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Country | US
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Telephone | 231-730-4747
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Fax | 231-799-9140
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE R FORREST
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Credential | MA, LLP PLC
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Telephone | 231-730-4747
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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 |
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License Number State |
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