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General NPI Number Information
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NPI Number | 1235933656
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Entity Type | Organization
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Legal Business Name | FEAREY PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 328 BROADWAY STE 8
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1840
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Country | US
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Telephone | 617-209-9397
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Fax |
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Provider Business Mailing Address
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Address Line | 328 BROADWAY STE 8
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1840
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Country | US
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Telephone | 617-209-9397
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIOT FEAREY
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Credential |
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Telephone | 617-209-9397
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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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