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NPI 1437510872

NPI 1437510872 : LETS TALK PSYCHOLOGICAL WELLNESS, P.C. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1437510872
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    Entity Type          |    Organization 
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    Legal Business Name  |    LETS TALK PSYCHOLOGICAL WELLNESS, P.C. 
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Dates
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    Enumeration Date     |    03/13/2016
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    Last Update Date     |    03/13/2016
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Provider Practice Location Address
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    Address Line         |    200 5TH AVE SUITE 300
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10010-3302
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    Country              |    US
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    Telephone            |    678-748-0430
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    220 5TH AVE SUITE 300
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10001-7708
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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    |    PAYXHOLOGIST
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    Name                 |    DR. MERAV  HARRIS 
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    Credential           |    PSY.D
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    Telephone            |    914-924-7984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    021340
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    License Number State |    NY
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