| Jason G Stentoumis | |
|
2535 E Mount Hope Ave Lansing MI 48910-1913 | |
| (517) 999-3935 | |
| (517) 372-2542 |
| Full Name | Jason G Stentoumis |
|---|---|
| Speciality | Psychologist |
| Location | 2535 E Mount Hope Ave, Lansing, Michigan |
| Authorized Official Name and Position | Jason G Stentoumis (OWNER) |
| Authorized Official Contact | 5179993935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason G Stentoumis Po Box 2257 Chesterton IN 46304-0357 Ph: (517) 676-9788 | Jason G Stentoumis 2535 E Mount Hope Ave Lansing MI 48910-1913 Ph: (517) 999-3935 |
| NPI Number | 1780862789 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780862789 | NPI | - | NPPES |
| 680C315670 | Other | MI | BLUE SHIELD OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301013410 (Michigan) | Primary |
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