Organization
PROGRESSIVE PSYCHOLOGICAL SERVICES
Active
Other names
Cynthia Marjorie Stackpoole, Cynthia Marjorie Stackpoole
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA MARJORIE STACKPOOLE M.S.,LLP (LIMITED LICENSED PSYCHOLOGIST)
(586) 524-4904
Entity
Organization
Contact information
Practice address
22778 MACOMB INDUSTRIAL DR, CLINTON TOWNSHIP, MI 48036-1137
(586) 524-4904
Mailing address
47670 BEACON SQUARE DR, MACOMB, MI 48044-2872
(586) 524-4904
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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