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General NPI Number Information
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NPI Number | 1962836890
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Entity Type | Individual
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Provider Name | ROXANNE MARIE CHRISTENSEN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 2490 WALTON BLVD STE 205
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1413
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Country | US
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Telephone | 248-218-0622
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Fax | 248-218-0612
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Provider Business Mailing Address
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Address Line | 2490 WALTON BLVD STE 205
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1413
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Country | US
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Telephone | 248-218-0599
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Fax | 248-218-0612
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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 | 6351001879
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301019262
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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 | 6301017022
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 6301015091
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301019262
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License Number State | MI
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