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General NPI Number Information
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NPI Number | 1427244235
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/15/2007
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 1200 ASHWOOD DR STE 1201
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City | CANONSBURG
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State | PA
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Zip | 15317-4982
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Country | US
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Telephone | 724-884-0466
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Fax | 724-228-3943
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Provider Business Mailing Address
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Address Line | 1200 ASHWOOD DR STE 1201
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City | CANONSBURG
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State | PA
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Zip | 15317-4982
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Country | US
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Telephone | 724-884-0466
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Fax | 724-649-0039
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | EMILY HEIM
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Credential | LCSW
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Telephone | 724-884-0466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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