Provider Demographics
NPI:1497973861
Name:MAYBEE, STEPHEN G (MA)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:G
Last Name:MAYBEE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PLAINWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49080-1821
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2608 SNYDER DR
Practice Address - Street 2:
Practice Address - City:HICKORY CORNERS
Practice Address - State:MI
Practice Address - Zip Code:49060
Practice Address - Country:US
Practice Address - Phone:269-671-4809
Practice Address - Fax:269-671-4977
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012026103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling