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General NPI Number Information
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NPI Number | 1194029975
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Entity Type | Organization
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Legal Business Name | PARENT TO CHILD
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 737 BAINBRIDGE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-2058
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Country | US
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Telephone | 215-450-5271
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Fax | 215-733-0951
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Provider Business Mailing Address
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Address Line | 737 BAINBRIDGE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-2058
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Country | US
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Telephone | 215-450-5271
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Fax | 215-733-0951
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Authorized Official
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Title or Position | DIRECTOR, ART THERAPIST
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Name | MS. KATHRYN FORREST SNYDER
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Credential | ATR-BC, LPC
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Telephone | 215-450-5271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC003639
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License Number State | PA
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