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General NPI Number Information
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NPI Number | 1801618905
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Entity Type | Organization
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Legal Business Name | HARBORVIEW PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 8211 VILLAGE HARBOR DR
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City | CORNELIUS
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State | NC
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Zip | 28031-3706
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Country | US
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Telephone | 828-238-3268
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Fax |
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Provider Business Mailing Address
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Address Line | 213 WINDING FOREST DR
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City | TROUTMAN
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State | NC
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Zip | 28166-7685
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Country | US
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Telephone | 828-238-3268
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MICHELLE ANN MCCLAIN
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Credential | MS, LPA
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Telephone | 828-238-3268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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