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General NPI Number Information
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NPI Number | 1497097646
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Entity Type | Individual
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Provider Name | ELLEN FLANNERY-SCHROEDER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 43 BROAD ST STE 3
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City | WESTERLY
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State | RI
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Zip | 02891-1847
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Country | US
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Telephone | 401-622-4556
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Fax |
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Provider Business Mailing Address
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Address Line | 12 REUTEMANN RD
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City | NORTH STONINGTON
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State | CT
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Zip | 06359-1312
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Country | US
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Telephone | 860-501-5040
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PS00879
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License Number State | RI
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