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Individual

DR. STELLA E DIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS

Contact information

Practice address
1148 4TH ST, MUSKEGON, MI 49441
(231) 726-2299
(231) 728-6345
Mailing address
1148 4TH ST, MUSKEGON, MI 49441-1907
(231) 726-2299
(231) 728-6345

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007409
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680F145260
MAGELLAN
MI
01
BCBSOF14526
BCBS
Enumeration date
12/05/2006
Last updated
06/07/2013
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