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General NPI Number Information
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NPI Number | 1326976234
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Entity Type | Organization
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Legal Business Name | COLLEEN DAMINO PSYD LP PLLC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 31555 W 14 MILE RD STE 204
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-1287
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Country | US
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Telephone | 734-788-9914
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Fax |
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Provider Business Mailing Address
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Address Line | 31555 W 14 MILE RD STE 204
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-1287
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Country | US
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Telephone | 734-788-9914
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | COLLEEN DAMINO
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Credential | PSYD LP
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Telephone | 734-788-9914
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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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