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General NPI Number Information
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NPI Number | 1154590990
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Entity Type | Organization
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Legal Business Name | LIFELINE PSYCHOLOGICAL, P.C.
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 86 EAST 49TH STREET SUITE A
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City | BROOKLYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 917-586-5652
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 W 6TH ST 2ND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11223-2651
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Country | US
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Telephone | 917-586-5652
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST / OWNER
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Name | DR. ROBERT M MORRISON
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Credential | PSY D
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Telephone | 917-586-5652
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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 | 014325-1
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License Number State | NY
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