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General NPI Number Information
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NPI Number | 1861558694
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Entity Type | Organization
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Legal Business Name | WOMEN'S MENTAL HEALTH COLLECTIVE, INC.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 5 UPLAND ROAD SUITE 2 CAMBRIDGE
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City | CAMBRIDGE
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State | MA
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Zip | 02140
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Country | US
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Telephone | 617-354-6270
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Fax | 617-354-6275
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Provider Business Mailing Address
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Address Line | 5 UPLAND ROAD SUITE 2 CAMBRIDGE
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City | CAMBRIDGE
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State | MA
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Zip | 02140
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Country | US
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Telephone | 617-354-6270
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Fax | 617-354-6275
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Authorized Official
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Title or Position | STAFF PSYCHOTHERAPIST
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Name | MS. BETH COWETT
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Credential | L.I.C.S.W.
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Telephone | 617-543-6270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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