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General NPI Number Information
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NPI Number | 1700611902
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Entity Type | Organization
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Legal Business Name | PRACTICAL PSYCHOTHERAPY INC
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Dates
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Enumeration Date | 09/06/2024
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3 EXECUTIVE PARK DR STE 222
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City | BEDFORD
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State | NH
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Zip | 03110-6985
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Country | US
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Telephone | 603-836-3469
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Fax |
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Provider Business Mailing Address
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Address Line | 3 EXECUTIVE PARK DR STE 222
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City | BEDFORD
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State | NH
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Zip | 03110-6985
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Country | US
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Telephone | 603-836-3469
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PROVIDER
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Name | LOREY DELAP
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Credential | LCSW
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Telephone | 504-291-3898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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