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NPI 1790507465

NPI 1790507465 : ARBOR PSYCHOLOGY GROUP OF ROYAL OAK, PLLC : HUNTINGTON WOODS, MI

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General NPI Number Information
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    NPI Number           |    1790507465
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARBOR PSYCHOLOGY GROUP OF ROYAL OAK, PLLC 
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Dates
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    Enumeration Date     |    10/24/2024
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    Last Update Date     |    05/12/2025
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Provider Practice Location Address
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    Address Line         |    26657 WOODWARD AVE STE 100 
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    City                 |    HUNTINGTON WOODS
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    State                |    MI
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    Zip                  |    48070-1300
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    Country              |    US
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    Telephone            |    734-738-0897
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    Fax                  |    734-738-0898
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Provider Business Mailing Address
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    Address Line         |    26657 WOODWARD AVE STE 100 
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    City                 |    HUNTINGTON WOODS
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    State                |    MI
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    Zip                  |    48070-1300
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    Country              |    US
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    Telephone            |    734-738-0897
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    Fax                  |    734-738-0898
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Authorized Official
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    Title or Position    |    OWNER/CLINIC DIRECTOR
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    Name                 |    DR. MICHAEL  BAMBERY 
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    Credential           |    PH.D.
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    Telephone            |    734-738-0897
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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       |    
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    License Number State |    
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