Organization
STEPHEN J. VANGEL JR., PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JAMES VANGEL JR. PH.D. (SOLE PROPRIETOR)
(248) 842-2930
Entity
Organization
Contact information
Practice address
9640 COMMERCE RD, SUITE 106, COMMERCE TOWNSHIP, MI 48382-4166
(248) 842-2930
(248) 360-8897
Mailing address
3756 ELLISIA RD, COMMERCE TOWNSHIP, MI 48382-1724
(248) 842-2930
(248) 360-8897
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301009301
MI
103TC0700X
Clinical Psychologist
Primary
6301009301
MI
103TR0400X
Rehabilitation Psychologist
6301009301
MI
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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