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General NPI Number Information
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NPI Number | 1538498951
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Entity Type | Organization
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Legal Business Name | ROBERTA HITT PHD PLC
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 142 BRIGHTON LAKE RD
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City | BRIGHTON
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State | MI
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Zip | 48116-1738
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Country | US
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Telephone | 734-649-0244
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Fax |
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Provider Business Mailing Address
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Address Line | 142 BRIGHTON LAKE RD
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City | BRIGHTON
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State | MI
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Zip | 48116-1738
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Country | US
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Telephone | 734-649-0244
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | ROBERTA HITT
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Credential | PHD
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Telephone | 734-649-0244
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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 | 6301013105
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License Number State | MI
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