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General NPI Number Information
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NPI Number | 1245618537
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Entity Type | Organization
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Legal Business Name | STUDENT-CENTERED PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 215 MCLAWS CIR STE 1
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5799
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Country | US
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Telephone | 757-345-6428
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Fax |
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Provider Business Mailing Address
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Address Line | 215 MCLAWS CIR STE 1
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5799
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Country | US
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Telephone | 757-345-6428
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Fax |
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Authorized Official
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Title or Position | LICENSED SCHOOL PSYCHOLOGIST
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Name | MS. KAREN ANN DINUZZO
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Credential | M.A.
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Telephone | 703-915-9778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0803000251
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License Number State | VA
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