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General NPI Number Information
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NPI Number | 1154051092
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Entity Type | Organization
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Legal Business Name | RLH PSYCHOLOGICAL WELLNESS SERVICES, PLLC
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 28 NEW HEMPSTEAD RD
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City | NEW CITY
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State | NY
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Zip | 10956-3600
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Country | US
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Telephone | 201-660-4279
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Fax |
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Provider Business Mailing Address
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Address Line | 29 SOMERSET DR APT 13Q
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City | SUFFERN
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State | NY
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Zip | 10901-6941
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Country | US
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Telephone | 201-660-4279
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. ROBERT LOUIS HENDERSON
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Credential | PSY.D.
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Telephone | 201-660-4279
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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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