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General NPI Number Information
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NPI Number | 1821302860
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Entity Type | Organization
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Legal Business Name | TURN THE MIND, LLC
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 317 GODWIN AVE 2ND FLOOR
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City | MIDLAND PARK
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State | NJ
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Zip | 07432-1547
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Country | US
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Telephone | 201-241-2422
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Fax | 201-241-2422
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Provider Business Mailing Address
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Address Line | 317 GODWIN AVE 2ND FLOOR
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City | MIDLAND PARK
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State | NJ
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Zip | 07432-1547
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Country | US
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Telephone | 201-241-2422
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Fax | 201-241-2422
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. LAURA M. RICHARDSON
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Credential | PH.D
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Telephone | 201-241-2422
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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 | 4803
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License Number State | NJ
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