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General NPI Number Information
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NPI Number | 1437895562
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Entity Type | Organization
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Legal Business Name | TRUE NORTH PSYCHOLOGICAL LLC
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 682 PROSPECT AVE STE 204
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City | HARTFORD
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State | CT
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Zip | 06105-4238
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Country | US
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Telephone | 860-990-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 930 N MAIN ST
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City | WEST HARTFORD
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State | CT
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Zip | 06117-2031
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Country | US
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Telephone | 530-575-6773
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH HOUGHTON
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Credential | PSYD
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Telephone | 530-575-6337
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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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