Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY LUCILLE STODDARD, L.P.C.
Active Sole ProprietorMRS. MARY LUCILLE STODDARD, L.P.C. is a Community/Behavioral Health healthcare provider located in PORTAGE, Michigan. NPI 1083980551 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · PORTAGE, MI
Registration Details
- NPI Number
- 1083980551
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2012 (14.419983194166 yrs)
- Last Updated
- Mar 28, 2012
- License
-
6401008403 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
745 ALFA CT APT 1APORTAGE, MI, 490022979Browse MI providers · Browse ZIP 49002
- Phone
- 9893052095
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.