Martha Lou Stange in Berkley - Psychiatric/mental Health

Martha Lou Stange - NPI 1770799512

Martha Lou Stange is a Psychiatric/mental Health in Berkley, Michigan. Martha Lou Stange practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Martha Lou Stange is 1770799512. The last update date is 2007-07-08.

Martha Lou Stange's current location address is 4082 Gardner Ave, Berkley, Michigan. You can contact this provider via phone number 2482768000 and fax number 2482769280. The mailing address for Martha Lou Stange is 4082 Gardner Ave, Berkley, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Martha Lou Stange
Address 4082 Gardner Ave, Berkley, Michigan
Phone Number 2482768000
Fax Number 2482769280
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1770799512
Provider Enumeration Date 2007-05-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4082 Gardner Ave
City Berkley
State Michigan (MI)
Post Code 480721435
Phone Number 2482768000
Fax Number 2482769280

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 163Wp0808X
Licence No 4704166255
Definition:
A registered nurse who cares for patients with mental health disorders and conditions.

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FAQs about Martha Lou Stange

What is the Martha Lou Stange's unique identification number?

The Martha Lou Stange has been assigned the NPI (National Provider Identifier) Number 1770799512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Martha Lou Stange?

The Martha Lou Stange is situated at 4082 Gardner Ave, in the city of Berkley, state of MI, with the zip code 480721435.

What is Martha Lou Stange's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Martha Lou Stange is Psychiatric/mental Health, and the taxonomy code that classifies this field of practice is 163Wp0808X.

On what date did the Centers for Medicare & Medicaid Services issue the 1770799512 to Martha Lou Stange?

The Martha Lou Stange received its 1770799512 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.

When was the information regarding Martha Lou Stange most recently updated?

The details pertaining to the Martha Lou Stange, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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