Individual
STEPHANIE L HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
418 W KALAMAZOO AVE, KCMHSAS, KALAMAZOO, MI 49007-3334
(269) 553-7037
(269) 382-0019
Mailing address
418 W KALAMAZOO AVE, KCMHSAS, KALAMAZOO, MI 49007-3334
(269) 553-7037
(269) 382-0019
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301052027
MI
Other
Enumeration date
08/16/2006
Last updated
09/18/2012
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