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General NPI Number Information
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NPI Number | 1538621859
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Entity Type | Organization
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Legal Business Name | CATHRYN PATRICOLA VASEY PHD P.C.
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 75 HOLLY HILL LANE TERRACE 2
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City | GREENWICH
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State | CT
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Zip | 06830-6277
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Country | US
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Telephone | 914-420-8341
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Fax |
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Provider Business Mailing Address
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Address Line | 145 PORCHUCK RD
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City | GREENWICH
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State | CT
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Zip | 06831-2920
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Country | US
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Telephone | 914-420-8341
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CATHRYN PATRICOLA VASEY
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Credential | PHD
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Telephone | 914-420-8341
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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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