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General NPI Number Information
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NPI Number | 1245578640
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Entity Type | Organization
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Legal Business Name | VALLEY CENTER FOR COGNITIVE BEHAVIORAL THERAPY, INC.
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 07/17/2022
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Provider Practice Location Address
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Address Line | 3477 CORPORATE PKWY STE 100
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8237
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Country | US
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Telephone | 855-376-8553
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Fax | 610-456-2222
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Provider Business Mailing Address
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Address Line | 3477 CORPORATE PKWY STE 100
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8237
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Country | US
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Telephone | 855-376-8553
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Fax | 610-456-2222
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KATHERINE L MULLER
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Credential | PSY.D.
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Telephone | 855-376-8553
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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 | PS015448
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License Number State | PA
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