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General NPI Number Information
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NPI Number | 1598521619
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Entity Type | Individual
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Provider Name | ALISON GOLDSTEIN MS, LPC, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 1740 CONCORD COURT
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City | BLUE BELL
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State | PA
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Zip | 19422
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Country | US
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Telephone | 215-346-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 CONCORD CT
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City | BLUE BELL
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State | PA
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Zip | 19422-1336
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Country | US
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Telephone | 610-585-9673
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 22-233
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC015702
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License Number State | PA
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