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NPI Code Detail

MEDICARE: SHERRIE TERESE STEWART MS

MEDICARE:   SHERRIE TERESE STEWART  MS
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
1101YM0800XMental Health Counselor6301017105MI
2103TC0700XClinical Psychologist6301017105MI
3247200000XOther Technician
4106S00000XBehavior Technician

General Provider Information

NPI Number : 1730555467
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE TERESE STEWART MS
Provider Business Mailing Address
First Line : 7215 WESTSHIRE DR
Second Line :
City : LANSING
State : MI
Zip : 48917-9764
Country : US
Telephone Number : 517-657-2638
Fax Number :
Provider Business Practice Location Address
First Line : 7215 WESTSHIRE DR
Second Line :
City : LANSING
State : MI
Zip : 48917-9764
Country : US
Telephone Number : 517-657-2638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2015
Last Update Date : 02/20/2024

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Directions to “ SHERRIE TERESE STEWART MS” Practice Location

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