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General NPI Number Information
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NPI Number | 1265639926
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Entity Type | Individual
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Provider Name | BARRY MARK USLIANER PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11 MARSHALL RD C/O NORTHERN PSYCHIATRIC SERVICES
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4132
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Country | US
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Telephone | 914-715-7032
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Fax | 203-244-5394
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Provider Business Mailing Address
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Address Line | 9 SANDLEWOOD LN
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City | RIDGEFIELD
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State | CT
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Zip | 06877-3346
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Country | US
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Telephone | 914-715-7032
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Fax | 203-244-5394
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 010998
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 010998
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 010998
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 010998
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NY
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