Individual
MISS ROBIN ELAINE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., LLP
Contact information
Practice address
17515 W 9 MILE RD STE 240, SOUTHFIELD, MI 48075-4423
(248) 579-2188
(248) 715-5903
Mailing address
25595 MULROY DR, SOUTHFIELD, MI 48033-2510
(602) 791-1684
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301016485
MI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6361007845
MI
103TC0700X
Clinical Psychologist
Primary
6301016485
MI
103TC0700X
Clinical Psychologist
6361007845
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699130195.
—
MI
05
—
ENUMERATION DATE:
—
MI
Enumeration date
12/28/2015
Last updated
10/16/2024
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