Individual
JOSEPH MATTHEW STABRAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA TLLP
Contact information
Practice address
21221 POINCIANA ST, SOUTHFIELD, MI 48033-5043
(248) 820-8359
Mailing address
21221 POINCIANA ST, SOUTHFIELD, MI 48033-5043
(248) 820-8359
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015967
MI
Other
Enumeration date
03/19/2015
Last updated
10/28/2024
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