Individual
DR. STANLEY L. EDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
514 JUNIPER DR., DAVISON, MI 48423
(810) 653-3897
Mailing address
514 JUNIPER DR., DAVISON, MI 48423
(810) 653-3897
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
6301007261
MI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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