Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. STEPHANIE MARIE CARTER, NDTR,CDM, CFPP, CPT
Active Sole Proprietor136A00000X · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1639685191
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2017 (8.3377436304743 yrs)
- Last Updated
- Dec 20, 2017
- Licenses
-
202214 (MI)945321 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18501 W 10 MILE RDSOUTHFIELD, MI, 480752663Browse MI providers · Browse ZIP 48075
- Phone
- 3134928446
- Fax
- 2482007968
- Primary Specialty
-
136A00000X
136A00000X
- Additional Specialty
- 136A00000X
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.