MEDICARE: ROBIN HANKS PHD PLLC

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	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1922824382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBIN HANKS PHD PLLC

Provider Business Mailing Address
First Line	:	22 RIDGE RD
Second Line	:
City	:	PLEASANT RIDGE
State	:	MI
Zip	:	48069-1118
Country	:	US
Telephone Number	:	248-259-3016
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 W 7TH ST STE 190
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-2510
Country	:	US
Telephone Number	:	248-259-3016
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBIN HANKS
Credential	:	PHD
Telephone Number	:	248-259-3016

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	12/02/2024

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