Matthew A Stack is a Psychologist in Alma, Michigan. Matthew A Stack practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Matthew A Stack is 1033108667. The last update date is 2016-09-21.
Matthew A Stack's current location address is 330 E Warwick Dr, Alma, Michigan. You can contact this provider via phone number 9896298140 and fax number 9896298145. The mailing address for Matthew A Stack is 330 E Warwick Dr, Alma, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew A Stack |
|---|---|
| Address | 330 E Warwick Dr, Alma, Michigan |
| Phone Number | 9896298140 |
| Fax Number | 9896298145 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1033108667 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2016-09-21 |
Provider Mailing Address Detail
| Address | 330 E Warwick Dr |
|---|---|
| City | Alma |
| State | Michigan (MI) |
| Post Code | 488011014 |
| Phone Number | 9896298140 |
| Fax Number | 9896298145 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301007939 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 852900260 | MI | BCBSM | |
| P00140431 | AZ | RAILROAD | |
| 50155318 | NM | MEDICAID | |
| 762246 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew A Stack by the Centers for Medicare & Medicaid Services (CMS)?
The Matthew A Stack has been assigned the NPI (National Provider Identifier) 1033108667. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Matthew A Stack located?
The Matthew A Stack is located at 330 E Warwick Dr, Alma, MI 488011014.
Could you please provide the complete physical location address of Matthew A Stack?
The Matthew A Stack is physically situated at 330 E Warwick Dr, in the city of Alma, state of MI, with the postal code 488011014.
On what date did the Centers for Medicare & Medicaid Services issue the 1033108667 to Matthew A Stack?
The Matthew A Stack received its 1033108667 assignment from the Centers for Medicare & Medicaid Services on 2005-10-17.
When was the information pertaining to Matthew A Stack most recently updated or revised?
The details related to Matthew A Stack, including its address, specialty, and other relevant information, were last updated or revised on 2016-09-21.