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General NPI Number Information
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NPI Number | 1124182134
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Entity Type | Organization
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Legal Business Name | CLOVER PSYCHOLOGICAL ASSOCIATION
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 2722 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1241
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Country | US
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Telephone | 724-658-9398
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Fax | 724-656-1429
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Provider Business Mailing Address
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Address Line | 2722 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1241
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Country | US
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Telephone | 724-658-9398
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Fax | 724-656-1429
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CATHY L. CLOVER
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Credential | M.A.
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Telephone | 724-658-9398
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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 | PS-005964-L
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License Number State | PA
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