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General NPI Number Information
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NPI Number | 1750652665
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY SERVICES LLC
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 150 MORRISTOWN RD SUITE 215
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City | BERNARDSVILLE
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State | NJ
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Zip | 07924-2626
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Country | US
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Telephone | 908-306-0355
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Fax |
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Provider Business Mailing Address
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Address Line | 42 E RAYBURN RD
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City | MILLINGTON
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State | NJ
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Zip | 07946-1504
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Country | US
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Telephone | 908-604-9711
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN SOBEL ORSHAN
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Credential |
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Telephone | 908-604-9711
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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 | 02791
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License Number State | NJ
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