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General NPI Number Information
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NPI Number | 1891875225
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Entity Type | Organization
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Legal Business Name | B&L COGNITIVE BEHAVIORAL PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE STE 112
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3701
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Country | US
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Telephone | 631-327-7107
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Fax | 631-321-7108
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Provider Business Mailing Address
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Address Line | PO BOX 1029
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City | WEST BABYLON
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State | NY
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Zip | 11704-0029
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Country | US
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Telephone | 631-321-7107
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Fax | 516-665-9670
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JENNIFER M LANCASTER
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Credential | PHD
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Telephone | 631-321-7107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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