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General NPI Number Information
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NPI Number | 1568750958
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Entity Type | Organization
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Legal Business Name | MERION PSYCHOLOGICAL ASSESSMENTS, LLC
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 3900 CITY AVE MADISON BUILDING, SUITE D 115
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2908
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Country | US
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Telephone | 610-724-7010
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Fax |
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Provider Business Mailing Address
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Address Line | 2216 RITTENHOUSE SQ
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5505
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Country | US
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Telephone | 610-724-7010
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, LICENSED PSYCHOLOGIST
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Name | DR. MARCY MCGREGRO CALDWELL
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Credential | PSY.D.
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Telephone | 610-724-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PS016507
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License Number State | PA
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