| Doctor Name: | VALERIE H STEFANOF |
| NPI Number: | 1457541914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LLP |
| License Number: | 6301010764 |
| Business Practice Address: | 5641 6 Mile Rd South Lyon, MI - 481789641 |
| Business Phone Number: | 2484377272 |
| Business Fax Number: | |
| Mailing Address: | 5641 6 Mile Rd, SOUTH LYON |
| State: | MI |
| Postal Code: | 481789641 |
| Phone Number: | 2484377272 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2007 |
| NPI Last Update Date: | 05/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TM1800X |
| License Number: | 6301010764 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
| Taxonomy Definition: | |