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General NPI Number Information
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NPI Number | 1558323295
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Entity Type | Organization
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Legal Business Name | COUNSELING PSYCHOLOGY, PC
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 04/06/2015
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Provider Practice Location Address
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Address Line | 984 N BROADWAY SUITE 411
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City | YONKERS
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State | NY
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Zip | 10701-1318
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Country | US
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Telephone | 914-964-0336
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Fax |
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Provider Business Mailing Address
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Address Line | 984 N BROADWAY SUITE 411
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City | YONKERS
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State | NY
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Zip | 10701-1318
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Country | US
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Telephone | 914-964-0336
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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. PAUL MOGLIA
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Credential | PHD
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Telephone | 914-964-0336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NY
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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 | 010055
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License Number State | NY
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