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General NPI Number Information
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NPI Number | 1245351956
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Entity Type | Organization
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Legal Business Name | THE KINGSBURY CENTER INC.
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5000 14TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-6926
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Country | US
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Telephone | 202-722-5555
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Fax | 202-722-5554
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Provider Business Mailing Address
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Address Line | 5000 14TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-6926
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Country | US
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Telephone | 202-722-5555
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Fax | 202-722-5554
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Authorized Official
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Title or Position | DIR., DIAGNOSTIC & PSYCHOLOGICAL
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Name | DR. CHERRYL RENEE SMITH
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Credential | PH.D.
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Telephone | 202-722-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral 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 | 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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Taxonomy #6
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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 #7
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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