| Doctor Name: | DR. STEVEN REPPUHN |
| NPI Number: | 1033265756 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 6301006233 |
| Business Practice Address: | 2810 Charlevoix Ave Ste 102 Arrowhead Commons Petoskey, MI - 497708421 |
| Business Phone Number: | 2313476542 |
| Business Fax Number: | 2313480800 |
| Mailing Address: | 03198 Reycraft, BOYNE CITY |
| State: | MI |
| Postal Code: | 49712 |
| Phone Number: | 2313470456 |
| Fax Number: | 2313480800 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301006233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |