Stephanie Laird

Individual provider Active NPI Peer Specialist · Pleasant Ridge, MI

NPI 1285348474 · NPPES record last updated Jan 11, 2023

Key facts

NPI
1285348474
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
24200 Woodward Ave
Pleasant Ridge, MI 48069-1142
Phone
(248) 632-6758
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

24200 Woodward Ave
Pleasant Ridge, MI 48069-1142

Mailing address

24200 Woodward Ave
Pleasant Ridge, MI 48069-1142
Phone (248) 632-6758

Other providers in Pleasant Ridge, MI

All providers in Pleasant Ridge, MI · Peer Specialist in Michigan

Sources for this page

Verify at the official NPI Registry.