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NPI 1386441533

NPI 1386441533 : PRINCETON PSYCHOTHERAPY CENTER : PRINCETON, NJ

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General NPI Number Information
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    NPI Number           |    1386441533
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRINCETON PSYCHOTHERAPY CENTER 
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Dates
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    Enumeration Date     |    02/26/2025
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    Last Update Date     |    02/26/2025
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Provider Practice Location Address
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    Address Line         |    330 N HARRISON ST STE 6 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08540-3500
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    Country              |    US
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    Telephone            |    917-740-8797
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    330 N HARRISON ST STE 6 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08540-3500
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    Country              |    US
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    Telephone            |    917-740-8797
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER & DIRECTOR
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    Name                 |     MELISSA  GREENBERG 
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    Credential           |    PSYD
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    Telephone            |    917-740-8797
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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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