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General NPI Number Information
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NPI Number | 1255281887
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Entity Type | Organization
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Legal Business Name | CLINICAL SPECIALTY ASSOCIATES
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 150 MONUMENT RD FL 4
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1702
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Country | US
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Telephone | 610-902-1738
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Fax |
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Provider Business Mailing Address
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Address Line | 150 MONUMENT RD FL 4
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1702
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Country | US
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Telephone | 610-902-1738
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Fax |
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Authorized Official
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Title or Position | SENIOR ENROLLMENT MANAGER
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Name | STACY GRECO
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Credential |
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Telephone | 223-341-8516
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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 |
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License Number State |
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