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General NPI Number Information
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NPI Number | 1699130195
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Entity Type | Individual
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Provider Name | ROBIN ELAINE MCCOY PHD., LLP
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Gender | Female
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 17515 W 9 MILE RD STE 240
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4423
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Country | US
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Telephone | 248-579-2188
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Fax | 248-715-5903
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Provider Business Mailing Address
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Address Line | 25595 MULROY DR
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City | SOUTHFIELD
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State | MI
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Zip | 48033-2510
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Country | US
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Telephone | 602-791-1684
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6301016485
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 6361007845
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6361007845
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301016485
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License Number State | MI
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