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General NPI Number Information
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NPI Number | 1912869587
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Entity Type | Organization
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Legal Business Name | GRAND SLAM PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 32101 PALM CT
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City | LAWRENCE TOWNSHIP
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State | NJ
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Zip | 08648-5200
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Country | US
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Telephone | 856-607-2291
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Fax |
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Provider Business Mailing Address
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Address Line | 32101 PALM CT BLDG 32
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City | LAWRENCE TOWNSHIP
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State | NJ
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Zip | 08648-5200
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Country | US
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Telephone | 856-607-2291
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELEANOR MCCABE
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Credential | PH.D.
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Telephone | 856-607-2291
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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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