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General NPI Number Information
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NPI Number | 1376837583
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Entity Type | Organization
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Legal Business Name | BARBARA GRETEN PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 200 ORCHARD ST SUITE 301
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City | NEW HAVEN
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State | CT
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Zip | 06511-5363
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Country | US
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Telephone | 203-859-2111
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Fax | 203-630-1177
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Provider Business Mailing Address
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Address Line | 85 BUTTERNUT DR
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City | MERIDEN
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State | CT
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Zip | 06450-3509
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Country | US
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Telephone | 203-859-2111
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Fax | 203-630-1177
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Authorized Official
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Title or Position | MENTAL HEALTH AND TRAUMA THERAPIST
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Name | MS. BARBARA J. GRETEN
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Credential | M.DIV., MSW, LCSW
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Telephone | 203-859-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 007312
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License Number State | CT
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