Jeanne M Duax PHD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014608 Issued in MI

Legal business name

JEANNE M DUAX PHD PLLC

Practice address

747 S Main St
Plymouth, MI 48170-2046

Phone

(248) 919-8229

Fax

(248) 319-1192

NPI assigned

Jan 7, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeanne M Duax, PHD

Title

Psychologist

Phone

(248) 919-8229

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1295072593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702046",
            "telephone_number": "248-919-8229",
            "fax_number": "248-319-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702046",
            "telephone_number": "248-919-8229",
            "fax_number": "248-319-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE M DUAX PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "DUAX",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-919-8229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.