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Individual

ELIZABETH ANN ROBBINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
999 HAYNES, SUITE 300, BIRMINGHAM, MI 48009
(248) 770-3536
Mailing address
2641 INDIAN MOUND SOUTH, BLOOMFIELD HILLS, MI 48301
(248) 647-2837

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010919
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11287042
CAQH REGISTRATION NUMBER
01
68OF333190
BLUE CROSS PROVIDER ID
MI
Enumeration date
04/19/2007
Last updated
07/08/2007
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