Organization Name: | C. MILES STERLING PSY.D. PC |
NPI Number: | 1255457115 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER MILES STERLING (OWNER) |
Mailing Address: | 702 Notre Dame St Ste 101 Grosse Pointe |
State: | MI US |
Postal Code: | 482302105 |
Phone Number: | 3133436470 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301007663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |