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General NPI Number Information
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NPI Number | 1073268041
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Entity Type | Organization
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Legal Business Name | WELLNESS FROM WITHIN THERAPY
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 5831 FORWARD AVE # 1219
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City | PITTSBURGH
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State | PA
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Zip | 15217-2301
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Country | US
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Telephone | 412-326-9059
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Fax | 412-426-3801
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Provider Business Mailing Address
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Address Line | 5639 MARLBOROUGH RD
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City | PITTSBURGH
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State | PA
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Zip | 15217-1404
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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 | OWNER AND CLINICIAN
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Name | DR. ROBIN FREYBERG
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Credential | PHD, LCSW
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Telephone | 124-326-9059
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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