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General NPI Number Information
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NPI Number | 1548120827
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Entity Type | Organization
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Legal Business Name | VICISSITUDES, PLLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 3 ELM ST
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City | STOCKBRIDGE
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State | MA
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Zip | 01262-7721
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Country | US
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Telephone | 413-693-2969
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MAPLEWOOD AVE APT 25
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City | PITTSFIELD
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State | MA
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Zip | 01201-4732
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Country | US
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Telephone | 413-693-2969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MADELINE LEE RIVER
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Credential | PSY.D
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Telephone | 413-693-2969
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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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