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General NPI Number Information
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NPI Number | 1568732808
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Entity Type | Individual
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Provider Name | MATTHEW MORAND PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 3601 HEMPSTEAD TPKE SUITE 205
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City | LEVITTOWN
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State | NY
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Zip | 11756-1375
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Country | US
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Telephone | 516-241-4186
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Fax |
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Provider Business Mailing Address
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Address Line | 2255 CENTRE AVE
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City | BELLMORE
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State | NY
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Zip | 11710-3499
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Country | US
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Telephone | 516-882-3868
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 019473
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 019473
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License Number State | NY
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