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NPI Code Detail

MEDICARE: DR. ROBIN BEATRICE DILLEY PH.D

MEDICARE:  DR. ROBIN BEATRICE DILLEY  PH.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1990AZ

General Provider Information

NPI Number : 1548353188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBIN BEATRICE DILLEY PH.D
Provider Business Mailing Address
First Line : 16845 N. 29TH AVE
Second Line : BOX 635
City : PHOENIX
State : AZ
Zip : 85053
Country : US
Telephone Number : 602-564-1919
Fax Number : 602-564-1918
Provider Business Practice Location Address
First Line : 3520 W DANBURY
Second Line :
City : GLENDALE
State : AZ
Zip : 85308
Country : US
Telephone Number : 602-564-1919
Fax Number : 602-564-1918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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