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General NPI Number Information
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NPI Number | 1114756277
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Entity Type | Organization
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Legal Business Name | CATALYST PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 275 GROVE ST
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City | AUBURNDALE
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State | MA
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Zip | 02466-2272
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Country | US
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Telephone | 781-205-0636
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Fax |
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Provider Business Mailing Address
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Address Line | 14 COLONY RD
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City | LEXINGTON
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State | MA
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Zip | 02420-2004
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Country | US
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Telephone | 781-205-0636
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JESSICA WEATHERFORD
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Credential | PSYD
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Telephone | 925-408-9875
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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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