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General NPI Number Information
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NPI Number | 1780338327
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Entity Type | Organization
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Legal Business Name | CENTER FOR PEDIATRIC AND ADULT ANXIETY AND DEPRESSION PLLC
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 600 W GERMANTOWN PIKE STE 400
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1046
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Country | US
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Telephone | 610-940-1654
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Fax | 610-424-7622
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Provider Business Mailing Address
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Address Line | 8018 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-3421
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Country | US
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Telephone | 732-996-6375
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST AND DIRECTOR
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Name | DR. BRIDGET MARY HIRSCH
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Credential | PSY.D.
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Telephone | 610-940-1654
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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