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General NPI Number Information
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NPI Number | 1770600041
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Entity Type | Individual
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Provider Name | ALISA KRIEGEL PHD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 138 W. 25TH STREET STE. 802
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City | NEW YORK
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State | NY
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Zip | 10001-7405
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Country | US
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Telephone | 917-310-5951
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Fax |
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Provider Business Mailing Address
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Address Line | 20 EXCHANGE PLACE APT. 2802
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City | NEW YORK
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State | NY
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Zip | 10005-3208
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Country | US
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Telephone | 917-716-5581
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY15684
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 019061
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License Number State | NY
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