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General NPI Number Information
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NPI Number | 1346692852
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Entity Type | Organization
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Legal Business Name | JOCELYN A. MARKOWICZ PH.D, P.C.
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 843 PENNIMAN AVE
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City | PLYMOUTH
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State | MI
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Zip | 48170-1757
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Country | US
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Telephone | 734-335-7709
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Fax | 734-335-7711
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Provider Business Mailing Address
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Address Line | 843 PENNIMAN AVE
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City | PLYMOUTH
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State | MI
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Zip | 48170-1757
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Country | US
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Telephone | 734-335-7709
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Fax | 734-335-7711
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Authorized Official
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Title or Position | PRESIDENT/PSYCHOLOGIST
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Name | DR. JOCELYN MARKOWICZ
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Credential | PH.D.
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Telephone | 734-335-7709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6301015407
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License Number State | MI
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