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General NPI Number Information
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NPI Number | 1134342835
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Entity Type | Organization
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Legal Business Name | IN YOUR DREAMS PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 255 W END AVE SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10023-3605
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Country | US
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Telephone | 212-666-0332
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Fax |
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Provider Business Mailing Address
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Address Line | 255 W END AVE SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10023-3605
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Country | US
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Telephone | 212-666-0332
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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. PEGGY THOMSON
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Credential | PH.D.
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Telephone | 212-666-0332
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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 | 012953
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License Number State | NY
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