| NPI | 1790241446 |
|---|---|
| Doing Business As | CYNTHIA MARJORIE STACKPOOLE |
| Other Name | CYNTHIA MARJORIE STACKPOOLE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARJORIE STACKPOOLE Limited Licensed Psychologist 586-524-4904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |