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General NPI Number Information
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NPI Number | 1700469632
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Entity Type | Organization
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Legal Business Name | ROBLE PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 5310 CLARK RD
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City | SARASOTA
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State | FL
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Zip | 34233-3230
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Country | US
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Telephone | 869-570-1557
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Fax |
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Provider Business Mailing Address
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Address Line | 171 WATCH HILL RD # 171
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City | BRANFORD
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State | CT
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Zip | 06405-2222
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Country | US
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Telephone | 860-598-4407
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JARITZA MELENDEZ-HERNANDEZ
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Credential | PSYD
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Telephone | 786-957-0155
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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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