MEDICARE: STEPHANIE MAY YOUNGLOVE L.L.P

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist	6361006583	MI

General Provider Information

NPI Number	:	1225162621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MAY YOUNGLOVE L.L.P

Provider Business Mailing Address
First Line	:	366 CRYSTAL SPRING AVE
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-3207
Country	:	US
Telephone Number	:	517-662-5084
Fax Number	:

Provider Business Practice Location Address
First Line	:	11609 CARLETON RD
Second Line	:
City	:	CLAYTON
State	:	MI
Zip	:	49235-9731
Country	:	US
Telephone Number	:	517-662-5084
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	01/14/2026

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Directions to “ STEPHANIE MAY YOUNGLOVE L.L.P” Practice Location

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