Organization
WESTERN MICHIGAN UNIVERSITY PSYCHOLOGICAL ASSESSMENT AND TREATMENT SER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MARIE PETERSON PH.D. (PROFESSOR)
(269) 387-4479
Entity
Organization
Contact information
Practice address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-2208
Mailing address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-2208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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