Doctor Name: | STEPHEN J ALBRECHT |
NPI Number: | 1023061132 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 6301011835 |
Business Practice Address: | 2465 Byron Station Dr Sw Suite C Byron Center, MI - 493159482 |
Business Phone Number: | 6165838252 |
Business Fax Number: | 6165838254 |
Mailing Address: | 2465 Byron Station Dr Sw, Suite C BYRON CENTER |
State: | MI |
Postal Code: | 493159482 |
Phone Number: | 6165838252 |
Fax Number: | 6165838254 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 6301011835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |