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General NPI Number Information
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NPI Number | 1376969493
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR PSYCHOLOGY
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 1098 WASHINGTON CROSSING RD STE 1
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City | WASHINGTON CROSSING
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State | PA
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Zip | 18977-1343
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Country | US
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Telephone | 215-321-9111
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Fax | 215-321-1043
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Provider Business Mailing Address
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Address Line | 1098 WASHINGTON CROSSING RD STE 1
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City | WASHINGTON CROSSING
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State | PA
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Zip | 18977-1343
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Country | US
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Telephone | 215-321-9111
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Fax | 215-321-1043
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Authorized Official
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Title or Position | PRESIDENT
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Name | YVONNE NEIMAN
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Credential | M.S.
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Telephone | 215-321-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS004836-L
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License Number State | PA
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