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General NPI Number Information
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NPI Number | 1780832329
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Entity Type | Organization
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Legal Business Name | LIHN CENTER FOR PSYCHOLOGY
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 1216 DARBY RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-3603
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Country | US
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Telephone | 610-446-9669
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Fax | 610-446-4912
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Provider Business Mailing Address
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Address Line | 1216 DARBY RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-3603
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Country | US
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Telephone | 610-446-9669
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Fax | 610-446-4912
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOANN COHEN
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Credential | PHD
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Telephone | 610-446-9669
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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 | PS006366L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC000665
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License Number State | PA
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