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General NPI Number Information
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NPI Number | 1245697366
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Entity Type | Organization
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Legal Business Name | HAMMOND PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 401 SHADY AVE SUITE B207
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City | PITTSBURGH
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State | PA
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Zip | 15206-4409
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Country | US
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Telephone | 412-361-0773
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Fax | 412-361-0779
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Provider Business Mailing Address
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Address Line | 401 SHADY AVE SUITE B207
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City | PITTSBURGH
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State | PA
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Zip | 15206-4409
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Country | US
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Telephone | 412-361-0773
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Fax | 412-361-0779
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHERINE M HOLTZ
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Credential | PSY.D.
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Telephone | 412-361-0773
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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 | PS007406L
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License Number State | PA
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