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General NPI Number Information
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NPI Number | 1760529127
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Entity Type | Organization
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Legal Business Name | NAGY PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23933 ALLEN RD SUITE 13
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City | WOODHAVEN
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State | MI
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Zip | 48183-3372
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Country | US
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Telephone | 734-558-8112
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Fax |
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Provider Business Mailing Address
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Address Line | 23933 ALLEN RD SUITE 13
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City | WOODHAVEN
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State | MI
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Zip | 48183-3372
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Country | US
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Telephone | 734-558-8112
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEBRA NAGY
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Credential | LP
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Telephone | 734-558-8112
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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 | 6301012709
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License Number State | MI
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