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General NPI Number Information
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NPI Number | 1407268782
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Entity Type | Organization
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Legal Business Name | CEDARS PSYCHOLOGY SERVICES, LLC
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 221 N TOWER AVE SUITE 301
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City | CENTRALIA
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State | WA
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Zip | 98531-4309
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Country | US
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Telephone | 360-836-0493
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Fax |
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Provider Business Mailing Address
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Address Line | 3711 MAYBERRY RD
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City | CENTRALIA
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State | WA
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Zip | 98531-1573
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Country | US
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Telephone | 360-836-0493
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED PSYCHOLOGIST
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Name | DR. ROSEMARIE DOWNEY-MCCARTHY
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Credential | PH.D.
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Telephone | 360-836-0493
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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 | PY60448678
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License Number State | WA
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