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General NPI Number Information
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NPI Number | 1770361982
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Entity Type | Organization
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Legal Business Name | HEATHROW PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 1307 S INTERNATIONAL PKWY STE 2501
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City | LAKE MARY
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State | FL
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Zip | 32746-1413
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Country | US
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Telephone | 407-284-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 S INTERNATIONAL PKWY STE 2501
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City | LAKE MARY
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State | FL
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Zip | 32746-1413
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Country | US
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Telephone | 407-284-1191
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ERICA KARLINSKY
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Credential | PHD
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Telephone | 321-262-8958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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