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General NPI Number Information
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NPI Number | 1346865904
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Entity Type | Organization
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Legal Business Name | FIRST STEPS PSYCHOLOGY ASSOCIATES
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 1513 E LOWDEN AVE
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City | WHEATON
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State | IL
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Zip | 60189-6733
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Country | US
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Telephone | 815-685-9390
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Fax |
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Provider Business Mailing Address
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Address Line | 1513 E LOWDEN AVE
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City | WHEATON
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State | IL
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Zip | 60189-6733
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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 | CLINICAL PSYCHOLOGIST
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Name | DR. STEFANIE WARNING-PROBST
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Credential | PAY.D.
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Telephone | 815-685-9390
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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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