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General NPI Number Information
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NPI Number | 1710521216
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Entity Type | Organization
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Legal Business Name | CATHERINE SULLIVAN-WINDT PH.D., LLC
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 600 WYNDHURST AVE STE 307A
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City | BALTIMORE
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State | MD
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Zip | 21210-2419
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Country | US
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Telephone | 410-801-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 600 WYNDHURST AVE STE 307A
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City | BALTIMORE
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State | MD
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Zip | 21210-2419
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Country | US
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Telephone | 410-801-9700
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOLOGIST
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Name | DR. CATHERINE SULLIVAN-WINDT
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Credential | PHD
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Telephone | 410-801-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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