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General NPI Number Information
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NPI Number | 1649941261
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Entity Type | Organization
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Legal Business Name | STEPPING STONES PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 7432 US9
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932
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Country | US
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Telephone | 518-412-2066
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 493
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-0493
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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 | OPERATING MEMBER
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Name | DR. MARIA RHEAUME
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Credential | PSYD
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Telephone | 518-412-2066
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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