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General NPI Number Information
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NPI Number | 1437045242
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Entity Type | Organization
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Legal Business Name | COGNITIVE BEHAVIORAL THERAPY PSYCHOLOGICAL SERVICES OF NEW YORK, PLLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 100 E SENECA ST FL 3
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City | MANLIUS
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State | NY
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Zip | 13104-1872
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Country | US
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Telephone | 800-732-9520
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 ROUTE 70 E STE 7
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2123
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Country | US
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Telephone | 800-732-9520
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MARLA W DEIBLER
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Credential | PSYD, ABPP
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Telephone | 800-732-9520
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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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