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General NPI Number Information
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NPI Number | 1902493067
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Entity Type | Organization
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Legal Business Name | VICKI J. EHRLICH, PSY.D., PC
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Dates
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Enumeration Date | 12/23/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 2039 PALMER AVE STE 204
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City | LARCHMONT
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State | NY
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Zip | 10538-2483
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Country | US
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Telephone | 914-589-1161
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Fax |
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Provider Business Mailing Address
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Address Line | 31 LOCUST AVE
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City | LARCHMONT
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State | NY
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Zip | 10538-3821
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Country | US
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Telephone | 914-589-1161
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICKI JANE EHRLICH
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Credential | PSYD
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Telephone | 914-589-1161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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