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General NPI Number Information
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NPI Number | 1164980751
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Entity Type | Organization
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Legal Business Name | CGM PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 01/06/2024
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Provider Practice Location Address
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Address Line | 33 TERMINAL WAY STE 525A
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City | PITTSBURGH
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State | PA
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Zip | 15219-1216
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Country | US
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Telephone | 724-299-1848
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Fax |
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Provider Business Mailing Address
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Address Line | 306 4TH AVE APT 901
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City | PITTSBURGH
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State | PA
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Zip | 15222-2008
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Country | US
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Telephone | 908-797-7981
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. CHELSEA NICOLE GREFE MCCANN
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Credential | PSYD
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Telephone | 908-797-7981
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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 |
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License Number State |
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