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General NPI Number Information
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NPI Number | 1346050390
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Entity Type | Organization
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Legal Business Name | JOURNEY TO THRIVE PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 01/11/2025
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Last Update Date | 01/19/2025
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Provider Practice Location Address
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Address Line | 1698 POST RD E BLDG C2ND
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City | WESTPORT
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State | CT
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Zip | 06880-5652
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Country | US
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Telephone | 475-471-0242
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Fax |
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Provider Business Mailing Address
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Address Line | 46 LAKEVIEW DR
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City | NORWALK
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State | CT
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Zip | 06850-2018
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Country | US
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Telephone | 203-451-7880
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. MARGARITA M COSSUTO
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Credential | PHD
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Telephone | 475-471-0242
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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 |
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License Number State |
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