Individual
MS. ANNA M. STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2048 WASHTENAW RD, LOWER LEVEL, YPSILANTI, MI 48197-1889
(734) 751-3522
Mailing address
45844 SOUTHWICK DR, CANTON, MI 48188-6230
(734) 495-9956
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11561714
CAQH PROVIDER I.D.
MI
Enumeration date
03/19/2007
Last updated
07/08/2007
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