Individual
STEPHEN J VANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
REHAB INSTITUTE OF MI, 261 MACK - PSYCHOLOGY, DETROIT, MI 48201
(313) 745-9763
Mailing address
261 MACK AVE, SUITE 555, DETROIT, MI 48201-2417
(313) 745-9763
(313) 745-9854
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009301
MI
103TC0700X
Clinical Psychologist
6301009301
MI
Other
Enumeration date
05/31/2006
Last updated
10/26/2015
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