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General NPI Number Information
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NPI Number | 1346967411
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Entity Type | Organization
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Legal Business Name | QUIET MIND PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 357 HOYT ST
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City | BROOKLYN
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State | NY
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Zip | 11231-4943
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Country | US
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Telephone | 914-260-8864
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Fax |
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Provider Business Mailing Address
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Address Line | 540 COURT ST # 4047
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City | BROOKLYN
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State | NY
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Zip | 11231-3923
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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 | LAURA PANTALEO
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Credential | PSYD
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Telephone | 914-260-8864
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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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