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General NPI Number Information
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NPI Number | 1831333897
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Entity Type | Organization
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Legal Business Name | EPS EDUCATIONAL AND PSYCHOLOGICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 85 WILLOW ST BLDG 3, FIRST FLOOR, UNIT 1
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City | NEW HAVEN
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State | CT
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Zip | 06511-2668
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Country | US
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Telephone | 203-909-6194
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Fax | 203-909-6462
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Provider Business Mailing Address
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Address Line | 85 WILLOW ST BLDG 3, FIRST FLOOR, UNIT 1
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City | NEW HAVEN
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State | CT
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Zip | 06511-2668
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Country | US
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Telephone | 203-909-6194
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Fax | 203-909-6462
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Authorized Official
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Title or Position | DIRECTOR OF PSYCHOLOGICAL SERVICES
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Name | DR. NORRIS M HAYNES
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Credential | PSYCHOLOGIST
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Telephone | 203-909-6194
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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 | 001400
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License Number State | CT
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