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General NPI Number Information
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NPI Number | 1578546263
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Entity Type | Organization
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Legal Business Name | OAKLAND PSYCHOLOGICAL CLINIC, P.C.
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 2550 S TELEGRAPH RD SUITE 250
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302
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Country | US
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Telephone | 248-322-0003
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Fax | 248-322-0006
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Provider Business Mailing Address
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Address Line | PO BOX 7008
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-7008
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Country | US
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Telephone | 248-322-0003
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Fax | 248-322-0006
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Authorized Official
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Title or Position | PRESIDENT, TREASURER, SECRETARY
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Name | ELLIOTT RICHELSON
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Credential | M.D.
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Telephone | 904-605-4986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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