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NPI 1366103657

NPI 1366103657 : POSTPARTUM LINK PLLC : GLENDALE, AZ

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General NPI Number Information
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    NPI Number           |    1366103657
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    Entity Type          |    Organization 
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    Legal Business Name  |    POSTPARTUM LINK PLLC 
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Dates
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    Enumeration Date     |    01/07/2022
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    20280 N 59TH AVE STE 115-136 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85308-6850
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    Country              |    US
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    Telephone            |    623-570-1895
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    20280 N 59TH AVE STE 115-136 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85308-6850
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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    |    OWNER
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    Name                 |     ALICE  PICKERING 
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    Credential           |    PSY.D.
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    Telephone            |    623-570-1895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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