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General NPI Number Information
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NPI Number | 1124993043
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Entity Type | Organization
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Legal Business Name | HOLISTIC PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 10230 QUEENS BLVD APT LC
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City | FOREST HILLS
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State | NY
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Zip | 11375-9500
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Country | US
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Telephone | 347-255-2087
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Fax | 718-228-9488
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Provider Business Mailing Address
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Address Line | 10230 QUEENS BLVD APT LC
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City | FOREST HILLS
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State | NY
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Zip | 11375-9500
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Country | US
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Telephone | 347-255-2087
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Fax | 718-288-9488
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIE DOHENY
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Credential | PSYD
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Telephone | 347-255-2087
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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 |
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License Number State |
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