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General NPI Number Information
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NPI Number | 1932571890
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Entity Type | Organization
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Legal Business Name | PSYCH & PSYCH SERVICES, LLC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 750 ABBE RD S
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City | ELYRIA
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State | OH
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Zip | 44035-7246
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Country | US
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Telephone | 440-323-5121
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Fax | 400-323-5134
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Provider Business Mailing Address
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Address Line | 750 ABBE RD S
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City | ELYRIA
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State | OH
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Zip | 44035-7246
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Country | US
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Telephone | 440-323-5121
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Fax | 400-323-5134
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Authorized Official
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Title or Position | OWNER/ PRACTICE MANAGER
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Name | CHRISTINA BIZUP
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Credential |
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Telephone | 440-323-5121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | CP17262
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License Number State | OH
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