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NPI 1922497429

NPI 1922497429 : ROBIN LEIGH ZOELLER PULLMAN PSY.D. : SAINT CHARLES, IL

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General NPI Number Information
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    NPI Number           |    1922497429
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN LEIGH ZOELLER PULLMAN PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/21/2015
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    Last Update Date     |    11/01/2024
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Provider Practice Location Address
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    Address Line         |    2570 FOXFIELD RD STE 107 
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    City                 |    SAINT CHARLES
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    State                |    IL
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    Zip                  |    60174-1406
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    Country              |    US
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    Telephone            |    847-868-3435
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    360 WEST BUTTERFIELD ROAD SUITE 340 
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    City                 |    ELMHURST
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    State                |    IL
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    Zip                  |    60177
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    Country              |    US
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    Telephone            |    630-615-7807
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    Fax                  |    630-615-7801
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    071006761
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    071.006761
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    103TA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Psychologist
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    License Number       |    17867
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    License Number State |    IL
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