Organization
STEPHANIE L. LONSWAY, PH.D., PSYCHOLOGIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE LONSWAY PH.D (PSYCHOLOGIST)
(586) 291-2503
Entity
Organization
Contact information
Practice address
1843 RW BERENDS DR SW, WYOMING, MI 49519-4955
(616) 773-2908
Mailing address
1843 RW BERENDS DR SW, WYOMING, MI 49519-4955
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015757
MI
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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