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General NPI Number Information
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NPI Number | 1487081303
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Entity Type | Organization
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Legal Business Name | MINDFUL ASSESSMENTS AND PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 10/09/2013
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 310 PASSAIC AVENUE, BUILDING B, SUITE 301
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2530
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Country | US
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Telephone | 973-832-7777
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Fax | 862-702-8273
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Provider Business Mailing Address
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Address Line | 310 PASSAIC AVENUE, BUILDING B, SUITE 301
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2530
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Country | US
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Telephone | 973-832-7777
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Fax | 862-702-8273
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Authorized Official
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Title or Position | CO-OWNER
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Name | MAHA YOUNES
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Credential | PH.D.
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Telephone | 973-832-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 35SI00421400
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License Number State | NJ
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