Darlene A Stieber Phd Pc | |
7975 Pepper Road Holly MI 48442-8566 | |
(586) 228-7562 | |
(586) 207-1560 |
Full Name | Darlene A Stieber Phd Pc |
---|---|
Speciality | Psychologist |
Location | 7975 Pepper Road, Holly, Michigan |
Authorized Official Name and Position | April Gagala (OFFICE MANAGER/BILLER) |
Authorized Official Contact | 5863225717 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Darlene A Stieber Phd Pc 7975 Pepper Rd Holly MI 48442-8566 Ph: (586) 207-1560 | Darlene A Stieber Phd Pc 7975 Pepper Road Holly MI 48442-8566 Ph: (586) 228-7562 |
NPI Number | 1619257524 |
---|---|
Provider Enumeration Date | 08/23/2011 |
Last Update Date | 02/28/2023 |
Certification Date | 02/28/2023 |
Medicare PECOS PAC ID | 4688839558 |
---|---|
Medicare Enrollment ID | O20120626000646 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619257524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301005948 (Michigan) | Primary |
Provider Name | Darlene A Stieber |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1568582732 PECOS PAC ID: 8820138241 Enrollment ID: I20091216000211 |
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