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General NPI Number Information
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NPI Number | 1619129483
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR EMOTIONAL HEALTH OF GREATER PHILADELPHIA
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 37 STONEHAM DR
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City | DELRAN
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State | NJ
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Zip | 08075-1345
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Country | US
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Telephone | 609-304-6944
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Fax |
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Provider Business Mailing Address
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Address Line | 37 STONEHAM DR
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City | DELRAN
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State | NJ
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Zip | 08075-1345
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Country | US
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Telephone | 609-304-6944
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST/DIRECTOR
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Name | DR. MARLA W DEIBLER
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Credential | PSY.D.
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Telephone | 609-304-6944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 35SI00438000
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License Number State | NJ
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