MEDICARE: MRS. MICHELLE HILBURN STEIN MA, LPA, HSP-PA

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	103TC1900X	Counseling Psychologist	3762	NC

General Provider Information

NPI Number	:	1720215619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE HILBURN STEIN MA, LPA, HSP-PA

Provider Business Mailing Address
First Line	:	113 BLOOMING MEADOWS RD
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-8556
Country	:	US
Telephone Number	:	919-557-9332
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 JEFFERSON ST
Second Line	:
City	:	WHITEVILLE
State	:	NC
Zip	:	28472-3601
Country	:	US
Telephone Number	:	910-642-6915
Fax Number	:

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

Provider Enumeration Date	:	06/17/2009
Last Update Date	:	06/17/2009

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