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General NPI Number Information
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NPI Number | 1558145839
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Entity Type | Organization
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Legal Business Name | BIRCH HAVEN PSYCHOLOGICAL ASSOCIATES, P.L.L.C.
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 472 HIGH ST STE 300
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1012
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Country | US
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Telephone | 978-482-7571
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Fax |
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Provider Business Mailing Address
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Address Line | 20 PORTSMOUTH AVE STE 1 PMB 1006
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City | STRATHAM
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State | NH
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Zip | 03885-6528
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Country | US
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Telephone | 978-482-7571
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALFRED-JOHN DIAMONTI
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Credential | PHD
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Telephone | 978-254-1165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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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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