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General NPI Number Information
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NPI Number | 1235320250
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Entity Type | Individual
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Provider Name | KATIE TANDON LPC, CACD, CEAP, CCA
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 832 GERMANTOWN PIKE STE 3
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-2442
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Country | US
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Telephone | 484-995-9262
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Fax |
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Provider Business Mailing Address
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Address Line | 36 MARIAN RD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-2911
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Country | US
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Telephone | 610-917-0262
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CACD
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC003246
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | CERTIFICATION
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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