| Doctor Name: | DR. TIMOTHY EDGAR STEWART |
| NPI Number: | 1639398795 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D, |
| License Number: | 6401003604 |
| Business Practice Address: | 112 E Chart St Plainwell, MI - 49080 |
| Business Phone Number: | 2696856363 |
| Business Fax Number: | |
| Mailing Address: | 121 Hicks Ave, PLAINWELL |
| State: | MI |
| Postal Code: | 490801811 |
| Phone Number: | 2695695323 |
| Fax Number: | 2696855995 |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6401003604 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |