NPI 1003692047
Stephanie Wisniewski, TLLP
Practice location
- Address
- 26545 American Dr, Southfield, MI 48034-6115
- Phone
- (800) 395-3223
- Mailing address
- 57236 Goodison APT 2211, New Hudson, MI 48165-7043
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1003692047
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Sep 2023
- Record last updated
- 19 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.