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General NPI Number Information
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NPI Number | 1730593583
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Entity Type | Organization
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Legal Business Name | PRESS PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 1415 PANTHER LN SUITE 218
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City | NAPLES
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State | FL
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Zip | 34109-7874
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Country | US
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Telephone | 239-591-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 PANTHER LN SUITE 218
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City | NAPLES
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State | FL
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Zip | 34109-7874
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Country | US
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Telephone | 239-591-6670
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. ANDREA CLAIRE PRESS
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Credential | PSY.D.
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Telephone | 239-591-6670
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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 | 05042
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License Number State | MD
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