| Doctor Name: | MARGARET ANN STACK |
| NPI Number: | 1447429261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., APBB |
| License Number: | 6301005353 |
| Business Practice Address: | 26789 Woodward Ave Suite #107c Huntington Woods, MI - 480701335 |
| Business Phone Number: | 2485463304 |
| Business Fax Number: | 2485463305 |
| Mailing Address: | 26789 Woodward Ave, Suite #107c HUNTINGTON WOODS |
| State: | MI |
| Postal Code: | 480701335 |
| Phone Number: | 2485463304 |
| Fax Number: | 2485463305 |
| NPI Enumeration Date: | 02/26/2008 |
| NPI Last Update Date: | 02/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301005353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |