MEDICARE: ARTHUR LEON ROBIN PHD

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
1	103T00000X	Psychologist	6301002847	MI
2	103TC0700X	Clinical Psychologist	6301002847	MI

General Provider Information

NPI Number	:	1902846488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR LEON ROBIN PHD

Provider Business Mailing Address
First Line	:	3800 WOODWARD AVE
Second Line	:	SUITE 702
City	:	DETROIT
State	:	MI
Zip	:	48201-2061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 S TELEGRAPH RD STE 101
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0177
Country	:	US
Telephone Number	:	248-451-9085
Fax Number	:	248-451-9089

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	04/26/2022

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