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General NPI Number Information
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NPI Number | 1205101813
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Entity Type | Individual
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Provider Name | CARLA P ANDREWS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 350 GEORGE ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-6617
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Country | US
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Telephone | 858-717-5979
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Fax |
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Provider Business Mailing Address
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Address Line | 350 GEORGE ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-6617
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Country | US
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Telephone | 858-717-5979
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 8.003341
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00590400
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License Number State | NJ
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