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NPI Code Detail

MEDICARE: DR. ROBIN L SCHUPPER PSY.D.

MEDICARE: DR. ROBIN L SCHUPPER PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY4131FL

General Provider Information

NPI Number : 1396787404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBIN L SCHUPPER PSY.D.
Provider Business Mailing Address
First Line : 7693 THORNLEE DR
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-7858
Country : US
Telephone Number : 561-704-2304
Fax Number : 561-432-4477
Provider Business Practice Location Address
First Line : 901 S 62ND AVE
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-1848
Country : US
Telephone Number : 561-704-2304
Fax Number : 561-432-4477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 08/30/2010

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