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General NPI Number Information
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NPI Number | 1609742048
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Entity Type | Organization
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Legal Business Name | JOLIE PEPPERMAN, PSYD PLLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 82 WENDELL AVE STE 100
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City | PITTSFIELD
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State | MA
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Zip | 01201-7066
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Country | US
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Telephone | 484-442-0651
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Fax |
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Provider Business Mailing Address
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Address Line | 867 BOYLSTON ST FL 5NO.1789
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City | BOSTON
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State | MA
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Zip | 02116-2774
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. JOLIE PEPPERMAN
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Credential | PSYD
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Telephone | 215-495-7214
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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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