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General NPI Number Information
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NPI Number | 1801742408
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Entity Type | Organization
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Legal Business Name | MINDRISE PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 17 SHARRON DR
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City | SOUTH EASTON
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State | MA
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Zip | 02375-1659
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Country | US
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Telephone | 508-443-4670
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Fax |
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Provider Business Mailing Address
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Address Line | 233 BROAD ST STE 13A1018
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City | BRIDGEWATER
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State | MA
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Zip | 02324-1786
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Country | US
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Telephone | 508-443-4670
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. AMANDA PRIEST
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Credential | PHD
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Telephone | 978-888-1362
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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 |
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License Number State |
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