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General NPI Number Information
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NPI Number | 1194314500
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Entity Type | Organization
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Legal Business Name | MICHAL MEYER PHD, LCSW, PLLC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 65 LASALLE RD STE 202
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2312
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Country | US
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Telephone | 607-301-1203
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Fax |
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Provider Business Mailing Address
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Address Line | 65 LASALLE RD STE 202
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2312
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | DR. MICHAL MEYER
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Credential | PHD, LCSW
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Telephone | 607-301-1203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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