| Doctor Name: | MS. DEBORAH ANN STANLEY |
| NPI Number: | 1013219542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NCC |
| License Number: | 6401011799 |
| Business Practice Address: | 36800 S Gratiot Ave Suite Ll2 Clinton Township, MI - 480351773 |
| Business Phone Number: | 5867461428 |
| Business Fax Number: | |
| Mailing Address: | 20836 Hall Rd, #132 CLINTON TOWNSHIP |
| State: | MI |
| Postal Code: | 480387227 |
| Phone Number: | 5867461428 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2010 |
| NPI Last Update Date: | 12/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401011799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |