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General NPI Number Information
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NPI Number | 1073693214
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Entity Type | Individual
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Provider Name | CATHERINE M KLOSEK M.ED.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | CATHERINE M. KLOSEK, M.ED. 3131 COLLEGE HEIGHTS BLVD, SUITE 400
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City | ALLENTOWN
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State | PA
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Zip | 18102
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Country | US
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Telephone | 484-860-1529
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Fax |
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Provider Business Mailing Address
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Address Line | 102 S MADISON ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-4636
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Country | US
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Telephone | 484-860-1529
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PS006331L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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