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General NPI Number Information
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NPI Number | 1467953349
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Entity Type | Organization
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Legal Business Name | PERSPECTIVES PSYCHOLOGICAL ASSOCIATES OF MIDMICHIGAN LLC
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 104 W WACKERLY ST
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City | MIDLAND
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State | MI
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Zip | 48640-2791
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Country | US
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Telephone | 989-992-6974
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Fax |
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Provider Business Mailing Address
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Address Line | 104 W WACKERLY ST
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City | MIDLAND
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State | MI
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Zip | 48640-2791
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Country | US
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Telephone | 989-486-3021
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Fax | 989-486-1843
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | JENNIFER LOMBARDO
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Credential | PHD
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Telephone | 989-486-3021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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