Individual
HEIDI STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43155 MAIN ST STE 2300G, NOVI, MI 48375-1889
(734) 323-4897
Mailing address
21528 JACKSONVILLE ST, FARMINGTON HILLS, MI 48336-5728
(607) 280-9868
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
6352000556
MI
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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