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General NPI Number Information
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NPI Number | 1427940840
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Entity Type | Organization
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Legal Business Name | PRIMROSE HEALTH PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1651 PRIMROSE RD NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1117
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Country | US
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Telephone | 732-580-8832
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 PRIMROSE RD NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1117
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Country | US
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Telephone | 732-580-8832
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE TOUSSAINT
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Credential | PHD, MS, MA
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Telephone | 732-580-8832
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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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