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NPI Code Detail

MEDICARE: RACHEL LAUREN ZUPPKE LP

MEDICARE: RACHEL LAUREN ZUPPKE LP
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
1103T00000XPsychologist6361007823MI

General Provider Information

NPI Number : 1831670736
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LAUREN ZUPPKE LP
Provider Business Mailing Address
First Line : 17177 N LAUREL PARK DR STE 131
Second Line :
City : LIVONIA
State : MI
Zip : 48152-3952
Country : US
Telephone Number : 734-462-3210
Fax Number :
Provider Business Practice Location Address
First Line : 17177 N LAUREL PARK DR STE 131
Second Line :
City : LIVONIA
State : MI
Zip : 48152-3952
Country : US
Telephone Number : 734-462-3210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 06/18/2026

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Directions to “ RACHEL LAUREN ZUPPKE LP” Practice Location

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