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General NPI Number Information
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NPI Number | 1407428360
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Entity Type | Organization
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Legal Business Name | ANCHORED PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 12 CATHY LN
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City | FLANDERS
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State | NJ
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Zip | 07836-9640
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Country | US
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Telephone | 732-882-4649
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 216
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City | MENDHAM
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State | NJ
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Zip | 07945-0216
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. JESSICA CASCALHEIRA
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Credential |
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Telephone | 732-882-4649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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