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General NPI Number Information
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NPI Number | 1336034917
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Entity Type | Organization
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Legal Business Name | EQUILIBRIUM PSYCHOLOGICAL SOLUTIONS PA
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 934 N MAGNOLIA AVE # 230
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City | ORLANDO
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State | FL
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Zip | 32803-3840
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Country | US
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Telephone | 407-775-9452
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Fax |
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Provider Business Mailing Address
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Address Line | 934 N MAGNOLIA AVE # 230
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City | ORLANDO
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State | FL
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Zip | 32803-3840
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Country | US
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Telephone | 407-775-9452
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. MATTHEW J SHARKEY
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Credential | PHD
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Telephone | 407-775-9452
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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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