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General NPI Number Information
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NPI Number | 1184493694
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Entity Type | Organization
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Legal Business Name | MARILYN J. KRIEGER, PH.D. PSYCHOLOGIST INC
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Dates
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Enumeration Date | 12/26/2023
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 18 OVERHILL RD
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City | MILL VALLEY
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State | CA
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Zip | 94941-1379
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Country | US
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Telephone | 415-346-5937
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1116
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City | MILL VALLEY
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State | CA
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Zip | 94942-1116
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Country | US
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Telephone | 415-346-5937
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MARILYN J KRIEGER
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Credential | PH.D.
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Telephone | 415-346-5937
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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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