Individual
STACEY VAN ECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ED.S.
Contact information
Practice address
2720 CALIFORNIA RD, ELKHART, IN 46514-1220
(574) 262-5542
Mailing address
3829 FOX CROSSING DR, SAINT JOSEPH, MI 49085-9150
(269) 718-9198
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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