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General NPI Number Information
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NPI Number | 1881566487
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Entity Type | Organization
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Legal Business Name | DEIRDRE CONROY, PHD
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 5777 W MAPLE RD STE 185
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2268
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Country | US
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Telephone | 313-241-6067
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Fax |
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Provider Business Mailing Address
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Address Line | 321 W LAFAYETTE BLVD UNIT 512
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City | DETROIT
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State | MI
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Zip | 48226-2726
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEIRDRE CONROY
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Credential | PHD
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Telephone | 313-241-6067
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number |
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License Number State |
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