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General NPI Number Information
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NPI Number | 1386194496
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Entity Type | Organization
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Legal Business Name | CRKALODNER PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 10015 OLD COLUMBIA RD STE B215
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City | COLUMBIA
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State | MD
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Zip | 21046-1865
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Country | US
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Telephone | 443-542-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 6834 CARLINDA AVE
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City | COLUMBIA
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State | MD
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Zip | 21046-1109
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Country | US
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Telephone | 410-491-2443
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. CYNTHIA KALODNER
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Credential | PH.D.
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Telephone | 410-491-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02830
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License Number State | MD
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