Doctor Name: | MS. SUSAN LYNN STENDEL |
NPI Number: | 1306181045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.L.P.C. |
License Number: | 6401009767 |
Business Practice Address: | 527 Cobb St Cadillac, MI - 496012540 |
Business Phone Number: | 2317753463 |
Business Fax Number: | 2317751692 |
Mailing Address: | 2240 S Airport Rd W Unit C, TRAVERSE CITY |
State: | MI |
Postal Code: | 496844718 |
Phone Number: | 2316424642 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2012 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401009767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |