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General NPI Number Information
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NPI Number | 1972243871
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Entity Type | Organization
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Legal Business Name | AJW PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 1 SOUTH AVE 2ND FLOOR
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City | NATICK
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State | MA
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Zip | 01760
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Country | US
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Telephone | 617-356-8054
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Fax |
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Provider Business Mailing Address
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Address Line | 841 WORCESTER ST STE E-341
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City | NATICK
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State | MA
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Zip | 01760-2016
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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 | CLINICAL PSYCHOLOGIST
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Name | DR. AISHWARYA JHA WEAVER
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Credential | PSY.D
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Telephone | 617-356-8054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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