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General NPI Number Information
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NPI Number | 1245719244
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Entity Type | Organization
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Legal Business Name | CW PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 491 ALLENDALE RD STE 301
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1432
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Country | US
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Telephone | 610-308-7575
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Fax | 508-433-1871
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Provider Business Mailing Address
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Address Line | 2315 SPRINGVIEW RD
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City | NORRISTOWN
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State | PA
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Zip | 19401-1956
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Country | US
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Telephone | 570-856-1777
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Fax | 508-433-1871
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KAREN TOUCHETTE
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Credential |
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Telephone | 508-326-9929
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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 | PS017625
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License Number State | PA
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