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General NPI Number Information
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NPI Number | 1821200213
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Entity Type | Organization
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Legal Business Name | CUSTOMER MARKETING GROUP
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Dates
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Enumeration Date | 05/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 165 E 89TH ST
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City | NEW YORK
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State | NY
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Zip | 10128-2315
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Country | US
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Telephone | 212-860-0296
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Fax | 203-226-9837
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Provider Business Mailing Address
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Address Line | 7 HILL FARM RD
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City | WESTON
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State | CT
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Zip | 06883-2006
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Country | US
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Telephone | 203-226-8993
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Fax | 203-226-9837
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | CYNTHIA MAYER
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Credential | PH.D.
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Telephone | 203-247-4669
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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 | 007625-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 007625-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 001997
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 001997
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License Number State | CT
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