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Individual

DR. STEPHEN LENNARD PURCELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
321 S MAIN ST, STE.214, ANN ARBOR, MI 48104-2117
(734) 663-1272
Mailing address
321 S MAIN ST, STE.214, ANN ARBOR, MI 48104-2117
(734) 663-1272

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006138
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680H146990
BLUE CROSS AND BLUE SHIELD PIN NUMBER
MI
Enumeration date
05/19/2008
Last updated
05/19/2008
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