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General NPI Number Information
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NPI Number | 1871829119
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Entity Type | Organization
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Legal Business Name | ALYSON NERENBERG PSYCHOLOGY ASSOCIATES
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Dates
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Enumeration Date | 10/21/2009
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 8627 GERMANTOWN AVE.
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City | PHILADELPHIA
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State | PA
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Zip | 19118
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Country | US
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Telephone | 610-331-7303
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Fax | 215-242-5515
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Provider Business Mailing Address
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Address Line | 510 MONTICELLO RD
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462
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Country | US
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Telephone | 610-331-7303
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Fax | 215-242-5115
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALYSON NERENBERG
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Credential | PSY.D.
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Telephone | 610-331-7303
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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 | PS008867L
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License Number State | PA
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