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General NPI Number Information
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NPI Number | 1215218284
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Entity Type | Organization
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Legal Business Name | CATALYST COUNSELING P.L.L.C.
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 600 5TH ST SUITE 302
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City | AMES
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State | IA
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Zip | 50010-6085
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Country | US
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Telephone | 515-232-5340
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Fax | 515-232-2070
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Provider Business Mailing Address
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Address Line | 600 5TH ST SUITE 302
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City | AMES
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State | IA
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Zip | 50010-6085
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Country | US
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Telephone | 515-232-5340
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Fax | 515-232-2070
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. SUZANNE M ZILBER
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Credential | PH.D.
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Telephone | 515-232-5340
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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 | 00661
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License Number State | IA
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