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General NPI Number Information
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NPI Number | 1902774557
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Entity Type | Organization
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Legal Business Name | REDWOOD PSYCHOLOGY GROUP LLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 270 GREENWICH AVE STE 21
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City | GREENWICH
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State | CT
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Zip | 06830-6530
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Country | US
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Telephone | 314-504-8482
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Fax |
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Provider Business Mailing Address
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Address Line | 37 LEDGE LN
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City | STAMFORD
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State | CT
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Zip | 06905-3321
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Country | US
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Telephone | 314-504-8482
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | BENJAMIN BERNSTEIN
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Credential |
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Telephone | 314-504-8482
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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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