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General NPI Number Information
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NPI Number | 1477364131
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Entity Type | Organization
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Legal Business Name | STUART S. SEGAL, PH.D., PLLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 36550 SUNNYDALE ST
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City | LIVONIA
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State | MI
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Zip | 48154-1725
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Country | US
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Telephone | 248-539-0200
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Fax | 248-539-0987
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Provider Business Mailing Address
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Address Line | 2619 KINGSTOWNE DR
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City | COMMERCE TWP
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State | MI
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Zip | 48390-2712
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Country | US
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Telephone | 248-539-0200
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MR. JEFF PERRY
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Credential |
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Telephone | 248-539-0200
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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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