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General NPI Number Information
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NPI Number | 1578376612
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Entity Type | Organization
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Legal Business Name | MG PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 500 OFFICE STE DR. STE. 400
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-3234
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Country | US
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Telephone | 215-259-8234
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Fax |
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Provider Business Mailing Address
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Address Line | 500 OFFICE STE DR. STE. 400
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-3234
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Country | US
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Telephone | 215-259-8234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW GILES MARKMAN GUZICK
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Credential | PHD
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Telephone | 215-259-8234
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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 |
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License Number State |
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