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General NPI Number Information
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NPI Number | 1922516301
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Entity Type | Organization
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Legal Business Name | MICHAEL CATALANELLO, PH.D.,LLC
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 1250 SW RAILROAD AVE STE 240B
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City | HAMMOND
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State | LA
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Zip | 70403-5065
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Country | US
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Telephone | 985-634-9660
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Fax | 855-445-4199
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Provider Business Mailing Address
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Address Line | 1250 SW RAILROAD AVE STE 240B
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City | HAMMOND
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State | LA
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Zip | 70403-5065
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Country | US
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Telephone | 985-634-9660
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Fax | 855-445-4199
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MICHAEL CATALANELLO
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Credential | PH.D.
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Telephone | 985-634-9660
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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 | 657
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License Number State | LA
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