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General NPI Number Information
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NPI Number | 1326826355
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Entity Type | Organization
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Legal Business Name | PATIENT CENTERED PSYCH PLLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 27941 HARPER AVE STE 104
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-1535
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Country | US
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Telephone | 248-245-2306
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2471
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City | FARMINGTON HILLS
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State | MI
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Zip | 48333-2471
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Country | US
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Telephone | 248-245-2306
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | TIFFANY Z TUTTLE
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Credential | PSYD
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Telephone | 248-245-2306
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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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