Dessa Stone is a Clinical in Lake Orion, Michigan. Dessa Stone practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dessa Stone is 1053331314. The last update date is 2018-03-17.
Dessa Stone's current location address is 27 S Broadway St Fl 2, Lake Orion, Michigan. You can contact this provider via phone number 2488144040 and fax number 2486909365. The mailing address for Dessa Stone is 27 S Broadway St Fl 2, Lake Orion, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dessa Stone |
|---|---|
| Address | 27 S Broadway St Fl 2, Lake Orion, Michigan |
| Phone Number | 2488144040 |
| Fax Number | 2486909365 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1053331314 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 27 S Broadway St Fl 2 |
|---|---|
| City | Lake Orion |
| State | Michigan (MI) |
| Post Code | 483623109 |
| Phone Number | 2488144040 |
| Fax Number | 2486909365 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301011559 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680F15940 | MI | BLUECROSSBLUESHIELD OF MI |
Post Comment/ Review Below
What is the Dessa Stone's unique identification number?
The Dessa Stone has been assigned the NPI (National Provider Identifier) Number 1053331314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Dessa Stone's facilities are situated?
The facilities of Dessa Stone are physically located at the following address: 27 S Broadway St Fl 2, Lake Orion, MI, 483623109.
What is the Dessa Stone's specialty and taxonomy code?
The Dessa Stone's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Dessa Stone receive its 1053331314?
The Dessa Stone was issued its 1053331314 on 2006-07-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Dessa Stone last refreshed?
The information related to the Dessa Stone, including its address, specialty, and other relevant details, was last updated on 2018-03-17.
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