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General NPI Number Information
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NPI Number | 1235825639
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Entity Type | Organization
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Legal Business Name | MERAKI PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 135 N OLD WOODWARD AVE STE 200
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City | BIRMINGHAM
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State | MI
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Zip | 48009-3341
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Country | US
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Telephone | 248-385-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 CARRIAGE LN
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9489
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Country | US
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Telephone | 248-385-3330
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. AMBER MARIE SEPSEY
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Credential | PHD
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Telephone | 248-385-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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