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NPI 1750478541

NPI 1750478541 : BARBARA LEE DAY PSYD, MSW : LOWELL, MA

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General NPI Number Information
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    NPI Number           |    1750478541
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA LEE DAY PSYD, MSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2006
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    Last Update Date     |    01/19/2015
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Provider Practice Location Address
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    Address Line         |    9 CENTRAL ST SUITE 201
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    City                 |    LOWELL
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    State                |    MA
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    Zip                  |    01852-1927
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    Country              |    US
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    Telephone            |    617-905-4331
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    Fax                  |    978-667-1936
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Provider Business Mailing Address
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    Address Line         |    11 WHITING ST 
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    City                 |    BILLERICA
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    State                |    MA
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    Zip                  |    01821-2554
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    Country              |    US
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    Telephone            |    617-905-4331
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    Fax                  |    978-667-1936
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    114149
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    9930
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    License Number State |    MA
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