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General NPI Number Information
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NPI Number | 1679425706
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Entity Type | Organization
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Legal Business Name | ALLYSON HAVILL PHD
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 127 STATE ROUTE 302 STE 4
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City | PINE BUSH
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State | NY
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Zip | 12566-7134
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Country | US
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Telephone | 845-654-7267
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Fax |
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Provider Business Mailing Address
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Address Line | 127 STATE ROUTE 302 STE 4
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City | PINE BUSH
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State | NY
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Zip | 12566-7134
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Country | US
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Telephone | 845-654-7267
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | JUDI SCINICO
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Credential |
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Telephone | 412-445-4652
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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 |
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License Number State |
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