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General NPI Number Information
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NPI Number | 1639563174
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Entity Type | Organization
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Legal Business Name | DEVELOPING MIND PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 1 WINFIELD PL
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-2907
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Country | US
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Telephone | 917-673-4621
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WINFIELD PL
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-2907
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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 | PSYCHOLOGIST
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Name | DR. SABRINA CROUCH
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Credential | PSY.D.
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Telephone | 917-673-4621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 015987
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License Number State | NY
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