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General NPI Number Information
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NPI Number | 1043099450
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PSYCHOLOGICAL CARE PLC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 12/16/2023
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Provider Practice Location Address
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Address Line | 5808 SCHAEFER RD
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City | DEARBORN
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State | MI
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Zip | 48126-2255
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Country | US
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Telephone | 313-467-4653
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Fax |
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Provider Business Mailing Address
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Address Line | 30851 BRISTOL LN
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City | BINGHAM FARMS
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State | MI
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Zip | 48025-4618
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Country | US
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Telephone | 313-467-4653
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. LAURENE SAAD-YOUNIS
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Credential | PSYD
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Telephone | 313-467-4653
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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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