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General NPI Number Information
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NPI Number | 1316047905
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Entity Type | Organization
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Legal Business Name | GREGG A PIZZI PSY D & ASSOCIATES PLLC
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 432 S WASHINGTON AVE SUITE 1207
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City | ROYAL OAK
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State | MI
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Zip | 48067-3854
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Country | US
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Telephone | 888-377-4994
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Fax | 888-377-4994
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Provider Business Mailing Address
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Address Line | 432 S WASHINGTON AVE SUITE 1207
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City | ROYAL OAK
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State | MI
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Zip | 48067-3854
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Country | US
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Telephone | 888-377-4994
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Fax | 888-377-4994
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Authorized Official
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Title or Position | DIRECTOR & LICENSED PSYCHOLOGIST
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Name | DR. GREGG A. PIZZI
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Credential | PSY.D.
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Telephone | 888-377-4994
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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 | PY6018
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301011945
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License Number State | MI
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