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General NPI Number Information
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NPI Number | 1548111230
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Entity Type | Organization
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Legal Business Name | MOSAIC BRAIN KINTSUGI NEUROPSYCHOLOGY & THERAPY PLACE
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Dates
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Enumeration Date | 02/07/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 4003 PLAINFIELD NAPERVILLE RD STE 209-2
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City | NAPERVILLE
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State | IL
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Zip | 60564-4147
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Country | US
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Telephone | 630-793-4552
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Fax | 630-358-6799
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Provider Business Mailing Address
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Address Line | 4003 PLAINFIELD NAPERVILLE RD STE 209-2
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City | NAPERVILLE
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State | IL
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Zip | 60564-4147
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Country | US
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Telephone | 630-793-4552
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Fax | 630-358-6799
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Authorized Official
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Title or Position | OWNER AND LICENSED CLINICAL PSYCHOL
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Name | MONIKA MALINOWSKA
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Credential | PSY.D
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Telephone | 630-770-0305
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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 |
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License Number State |
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