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General NPI Number Information
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NPI Number | 1891485264
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Entity Type | Organization
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Legal Business Name | VT PSYCHOTHERAPY ASSESSMENT & CONSULTATION SERVICES
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 200 PARK ST
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City | MORRISVILLE
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State | VT
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Zip | 05661-9098
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Country | US
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Telephone | 802-793-8076
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Fax |
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Provider Business Mailing Address
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Address Line | 200 PARK ST
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City | MORRISVILLE
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State | VT
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Zip | 05661-9098
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Country | US
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Telephone | 802-793-8076
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | ALICIA A WEIN-SENGHAS
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Credential | PSYD
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Telephone | 802-793-8076
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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 |
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License Number State |
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