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General NPI Number Information
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NPI Number | 1215501721
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Entity Type | Organization
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Legal Business Name | WEKSNER PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 365 BOSTON POST RD # 146
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City | SUDBURY
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State | MA
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Zip | 01776-3023
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Country | US
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Telephone | 978-206-1726
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Fax |
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Provider Business Mailing Address
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Address Line | 365 BOSTON POST RD # 146
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City | SUDBURY
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State | MA
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Zip | 01776-3023
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Country | US
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Telephone | 978-206-1726
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. REBECCA WEKSNER
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Credential | PSYD NCSP
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Telephone | 978-206-1726
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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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