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General NPI Number Information
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NPI Number | 1568270593
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Entity Type | Organization
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Legal Business Name | MIDDLE GROUND PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 209 BROAD ACRES RD
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City | LANSDALE
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State | PA
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Zip | 19446-1432
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Country | US
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Telephone | 215-595-2186
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Fax |
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Provider Business Mailing Address
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Address Line | 209 BROAD ACRES RD
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City | LANSDALE
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State | PA
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Zip | 19446-1432
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Country | US
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Telephone | 215-595-2186
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOLLY NORMAN
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Credential | PSYD
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Telephone | 631-332-7881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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