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General NPI Number Information
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NPI Number | 1447389762
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Entity Type | Organization
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Legal Business Name | RICHARD L. DUVALL, PH.D, LLC
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Dates
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Enumeration Date | 03/04/2007
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 155 SYCAMORE ST STE C
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City | GLASTONBURY
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State | CT
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Zip | 06033-4548
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Country | US
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Telephone | 860-633-9491
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Fax |
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Provider Business Mailing Address
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Address Line | 155 SYCAMORE ST STE C
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City | GLASTONBURY
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State | CT
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Zip | 06033-4548
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Country | US
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Telephone | 860-633-9491
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD LEIGH DUVALL
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Credential | PH.D
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Telephone | 860-633-9491
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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 | 1147
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License Number State | CT
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