Individual
KATIE MARIE STEBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361005627
MI
103TC0700X
Clinical Psychologist
6301016589
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301016589
LICENSE #
MI
Enumeration date
07/04/2017
Last updated
02/13/2023
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