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General NPI Number Information
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NPI Number | 1730294026
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Entity Type | Organization
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Legal Business Name | COGNITIVE DYNAMIC THERAPY ASSOCIATES INC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 155 N CRAIG STREET SUITE 170
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City | PITTSBURGH
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State | PA
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Zip | 15213
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Country | US
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Telephone | 412-687-8700
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Fax | 412-687-6808
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Provider Business Mailing Address
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Address Line | 155 N CRAIG STREET SUITE 170
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City | PITTSBURGH
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State | PA
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Zip | 15213
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Country | US
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Telephone | 412-687-8700
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Fax | 412-687-6808
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Authorized Official
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Title or Position | PSYCHOLOGIST OFFICER OF CORPORATION
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Name | LAWRENCE M GLANZ
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Credential | PHD
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Telephone | 41266878700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS003484L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS008790L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS015188L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS015150L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS008424L
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS009267L
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS015021L
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PC003890L
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CW001050L
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License Number State | PA
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Taxonomy #10
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CW012126L
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License Number State | PA
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Taxonomy #11
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS003286L
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License Number State | PA
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