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General NPI Number Information
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NPI Number | 1700949740
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Entity Type | Organization
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Legal Business Name | SAKOWITZ COUNSELING PA
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 61 BEAVER BROOK ROAD SUITE 302
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City | LINCOLN PARK
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State | NJ
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Zip | 07035-1440
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Country | US
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Telephone | 973-696-0800
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Fax | 973-305-8078
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Provider Business Mailing Address
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Address Line | 61 BEAVER BROOK ROAD SUITE 302
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City | LINCOLN PARK
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State | NJ
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Zip | 07035-1440
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Country | US
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Telephone | 973-696-0800
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Fax | 973-305-8078
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Authorized Official
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Title or Position | OWNER
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Name | JAMES GLYNN
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Credential | PSY D
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Telephone | 973-696-0800
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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 | 35SIO0148700
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License Number State | NJ
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