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General NPI Number Information
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NPI Number | 1609884550
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Entity Type | Organization
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Legal Business Name | RICHARD GELB PHD ABPN PC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 20500 EUREKA ROAD SUITE 315
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City | TAYLOR
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State | MI
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Zip | 48180-5370
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Country | US
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Telephone | 734-324-8930
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Fax | 734-324-8931
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Provider Business Mailing Address
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Address Line | 20500 EUREKA ROAD SUITE 315
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City | TAYLOR
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State | MI
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Zip | 48180-5370
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Country | US
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Telephone | 734-324-8930
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Fax | 734-324-8931
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Authorized Official
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Title or Position | PRES OF RICHARD GELB PHD ABPN PC
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Name | MR. RICHARD GELB
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Credential | PHD LCSW LCAS RN
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Telephone | 734-324-8930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301005856
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301005856
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License Number State | MI
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