STACIA JEAN EBELT
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1316721400- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 20300 SUPERIOR RD, TAYLOR, MI, 481806331
- Phone
- (734) 785-7700
Specialties & Taxonomies
Psychologist, Clinical
Primary License: MI #6362010045
All Addresses
MAILING
12142 LAPEER RD
DAVISON, MI, 484238119