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General NPI Number Information
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NPI Number | 1073389888
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Entity Type | Organization
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Legal Business Name | IN CONTEXT PSYCHOTHERAPY & CONSULTATION, P.C.
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 6 STATE ST
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City | BANGOR
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State | ME
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Zip | 04401-5112
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Country | US
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Telephone | 207-904-2427
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HOWARD ST
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City | BANGOR
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State | ME
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Zip | 04401-5520
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Country | US
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Telephone | 207-992-6505
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRENT DAVID ELWOOD
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Credential | PH.D.
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Telephone | 207-992-6505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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