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General NPI Number Information
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NPI Number | 1467546200
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGY CENTER FOR THE CUMBERLANDS
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 1200 EAST MASTER STREET SUITE 3
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City | CORBIN
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State | KY
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Zip | 40701
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Country | US
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Telephone | 606-528-5335
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Fax | 606-528-5669
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Provider Business Mailing Address
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Address Line | 1200 EAST MASTER STREET SUITE 3
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City | CORBIN
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State | KY
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Zip | 40701
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Country | US
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Telephone | 606-528-5335
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Fax | 606-528-5669
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA LYNNE BELEW
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Credential | PHD
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Telephone | 606-528-5335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1945
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 00831
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License Number State | KY
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