Provider Demographics
NPI:1568582732
Name:STIEBER, DARLENE A (PHD PC)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:A
Last Name:STIEBER
Suffix:
Gender:F
Credentials:PHD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7975 PEPPER RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-8566
Mailing Address - Country:US
Mailing Address - Phone:586-228-7562
Mailing Address - Fax:
Practice Address - Street 1:7975 PEPPER ROAD
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-8566
Practice Address - Country:US
Practice Address - Phone:586-228-7562
Practice Address - Fax:248-634-2164
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301005948103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI68 0 E0 4560 0OtherBCBS OF MICHIGAN