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General NPI Number Information
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NPI Number | 1295616357
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Entity Type | Individual
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Provider Name | MICHAELYNN WASSER LPC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 120 FRANKLIN ST STE 1B
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-1160
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Country | US
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Telephone | 814-715-3402
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Fax |
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Provider Business Mailing Address
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Address Line | 457 DEER PATH APT 8
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City | GROVE CITY
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State | PA
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Zip | 16127-3480
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Country | US
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Telephone |
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC009207
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License Number State | PA
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