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General NPI Number Information
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NPI Number | 1891394169
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Entity Type | Individual
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Provider Name | LINDSEY C GROVE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 111 COLCHESTER AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 219 E MAIN ST
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City | MISSOULA
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State | MT
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Zip | 59802-4493
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Country | US
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Telephone | 406-303-3485
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PSY-PSY-REG-001665
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PSY-PSY-REG-001665
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 048.0135225
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License Number State | VT
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