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General NPI Number Information
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NPI Number | 1922277102
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Entity Type | Organization
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Legal Business Name | COGNITIVE THERAPY & CONSULTATION LLC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 597 SPRINGFIELD AVE COGNITIVE THERAPY& CONSULTATION
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City | SUMMIT
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State | NJ
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Zip | 07901-4503
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Country | US
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Telephone | 908-273-3133
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Fax |
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Provider Business Mailing Address
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Address Line | 597 SPRINGFIELD AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-4503
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Country | US
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Telephone | 908-208-2585
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. SUE E. SCHONBERG
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Credential | PH.D.
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Telephone | 908-273-3133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4478
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License Number State | NJ
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