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General NPI Number Information
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NPI Number | 1851253066
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Entity Type | Organization
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Legal Business Name | VENTO PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 139 FULTON ST STE 401
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City | NEW YORK
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State | NY
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Zip | 10038-2594
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Country | US
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Telephone | 917-848-1312
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412
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City | CALLICOON
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State | NY
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Zip | 12723-0412
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIZABETH VENTO
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Credential | PHD
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Telephone | 917-848-1312
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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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