Healthcare Provider Details

I. General information

NPI: 1437747631
Provider Name (Legal Business Name): STEVEN VIMR MA, LLP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3169 BEECHER RD
FLINT MI
48532-3611
US

IV. Provider business mailing address

G3169 BEECHER RD
FLINT MI
48532-3611
US

V. Phone/Fax

Practice location:
  • Phone: 248-830-6223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: