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General NPI Number Information
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NPI Number | 1962558015
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH CENTER, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 33316 HEAVENLY WAY STE 203
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City | OCEAN VIEW
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State | DE
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Zip | 19970-3473
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Country | US
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Telephone | 302-567-1695
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Fax | 302-616-3934
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Provider Business Mailing Address
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Address Line | 33316 HEAVENLY WAY STE 203
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City | OCEAN VIEW
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State | DE
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Zip | 19970-3473
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Country | US
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Telephone | 302-567-1695
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Fax | 302-616-3934
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | MELINDA ANN KOHR
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Credential | PH.D.
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Telephone | 302-567-1695
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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 | PSY636
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License Number State | HI
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