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General NPI Number Information
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NPI Number | 1790599645
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Entity Type | Organization
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Legal Business Name | ST. JOHN'S UNIVERSITY CENTER FOR PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 8000 UTOPIA PKWY
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City | JAMAICA
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State | NY
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Zip | 11439-9000
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Country | US
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Telephone | 718-990-6360
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 UTOPIA PKWY
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City | JAMAICA
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State | NY
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Zip | 11439-9000
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Country | US
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Telephone | 718-990-6360
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF STUDENT HEALTH SERVICES
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Name | HEATHER ANN TORELLI
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Credential | FNP-BC
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Telephone | 215-704-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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