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General NPI Number Information
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NPI Number | 1962328310
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Entity Type | Organization
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Legal Business Name | THREE WILLOWS PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 5 PINE WEST PLAZA SUITE 501
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City | ALBANY
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State | NY
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Zip | 12205
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Country | US
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Telephone | 518-722-7637
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Fax | 518-240-4643
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | SLINGERLANDS
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State | NY
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Zip | 12159-0144
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/PSYCHOLOGIST
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Name | DR. EMILEE CARMEN VALLER GORFIEN
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Credential | PHD
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Telephone | 518-722-7637
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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 |
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License Number State |
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