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General NPI Number Information
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NPI Number | 1750265542
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Entity Type | Organization
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Legal Business Name | THE WELLVIEWSPRING GROUP PLLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 104 W FERRY ST
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-2100
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Country | US
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Telephone | 269-235-9002
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Fax |
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Provider Business Mailing Address
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Address Line | 104 W FERRY ST
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-2100
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Country | US
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Telephone | 269-235-9002
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | JUDITH FISHER
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Credential | PSY.D.
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Telephone | 815-407-7236
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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 |
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License Number State |
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