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NPI Code Detail

MEDICARE: MS. EMILIE DAUCH LLP

MEDICARE: MS. EMILIE DAUCH LLP
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
1103T00000XPsychologist6301005490MI

General Provider Information

NPI Number : 1689893471
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMILIE DAUCH LLP
Provider Business Mailing Address
First Line : 6555 W MAPLE RD
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-4926
Country : US
Telephone Number : 248-592-2671
Fax Number : 248-592-2660
Provider Business Practice Location Address
First Line : 6555 W MAPLE RD
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-4926
Country : US
Telephone Number : 248-592-2671
Fax Number : 248-592-2660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 07/08/2007

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Directions to “ MS. EMILIE DAUCH LLP” Practice Location

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