Individual
DR. DENISE ANN STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 W FERRY ST, BERRIEN SPRINGS, MI 49103-1109
(269) 815-5331
(269) 815-5061
Mailing address
300 W. FERRY STREET, BERRIEN SPRINGS, MI 49103-1664
(269) 815-5331
(269) 815-5061
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301013677
MI
Other
Enumeration date
10/14/2010
Last updated
12/19/2012
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