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General NPI Number Information
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NPI Number | 1699634469
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Entity Type | Organization
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Legal Business Name | NORTHEAST PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 50 CHURCH ST STE L4
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2745
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Country | US
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Telephone | 862-754-5441
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Fax |
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Provider Business Mailing Address
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Address Line | 52 FAIRVIEW AVE
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3141
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Country | US
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Telephone | 862-754-5441
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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. DAWN MICHELLE MCDONALD
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Credential | PSYD
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Telephone | 862-754-5441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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