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General NPI Number Information
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NPI Number | 1912995077
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Entity Type | Individual
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Provider Name | CHRISCELYN MARIE TUSSEY PSY. D.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 99 MADISON AVE FIFTH FLOOR, SUITE 407
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City | NEW YORK
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State | NY
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Zip | 10016-7419
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Country | US
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Telephone | 646-481-0560
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Fax | 888-971-4204
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Provider Business Mailing Address
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Address Line | 99 MADISON AVE FIFTH FLOOR, SUITE 407
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City | NEW YORK
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State | NY
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Zip | 10016-7419
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Country | US
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Telephone | 646-481-0560
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Fax | 888-971-4204
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810003999
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 018612
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 018612
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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