Individual
LORI R. STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
15930 19 MILE RD STE 150, CLINTON TOWNSHIP, MI 48038-1155
(517) 242-9759
Mailing address
17267 CARDIFF CT, CLINTON TWP, MI 48038-4641
(517) 242-9759
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361002758
MI
Other
Enumeration date
11/19/2011
Last updated
07/02/2024
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