DR. STANLEY L. EDEN


Address: 514 Juniper Dr., Davison, MI 48423
Phone: 8106533897

DR. STANLEY L. EDEN (NPI# 1346333937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346333937
Entity Type Individual
Full Name DR. STANLEY L. EDEN
Credential PSY.D.
Practice Address 514 Juniper Dr.
Davison
MI 48423
Practice Telephone 8106533897
Mailing Telephone 8106533897
Enumeration Date 2006-10-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
6301007261 MI Behavioral Health & Social Service Providers

Office Location

Street Address 514 JUNIPER DR.
City DAVISON
State MI
Zip Code 48423

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NPI Name Taxonomy Address Enumeration
1598258105 Davison Medical Practice Plc Internal Medicine 1260 N Irish Rd Ste B, Davison, MI 48423 2018-06-08
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1518499839 Angela Dunscombe Assistant Behavior Analyst 370 Carol Mary Ln, Davison, MI 48423 2017-03-28
1932572849 Terria Kurtz Social Worker 501 Davison Rd, Davison, MI 48423 2015-11-02
1821465139 Teresa Marshall Registered Nurse 832 Groten Drive, Davison, MI 48423 2015-08-24
1821478132 Phyllis Ann Stoutenberg Massage Therapist 105 E. Second St., Suite 2, Davison, MI 48423 2015-06-02
1760869713 Aimee Vakula-rollins, D.d.s., Pllc Dentist 1044 N. Irish Rd, Suite B, Davison, MI 48423 2015-04-29
1841681459 Pamela Linn Counselor 501 W. Flint St Suite A, Davison, MI 48423 2015-02-18
1740684232 Dustin Doren Physical Therapist 1410 Pondview Dr, Davison, MI 48423 2014-10-14
1982032132 Sadie Adams Speech-Language Pathologist 9100 Lapeer Road Suite C, Davison, MI 48423 2013-10-25
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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881230282 Latice Renee Dowdell Psychologist 43828 Medea Dr, Clinton Township, MI 48036-1299 2019-11-20
1770062572 Letisha Erica Smith Psychologist 120 N Washington Sq Ste 307, Lansing, MI 48933-1617 2018-08-13
1174019467 Christie Ladonna Chandler Psychologist 8401 Kennedy Cir Unit 3, Warren, MI 48093-2223 2018-07-10
1225546120 Tavia Turner Psychologist 18758 Florence St, Roseville, MI 48066-4816 2018-01-14
1316490758 Rosa Maria Thomas Psychologist 873 Jordan Ln, Milford, MI 48381-1476 2016-08-02
1851756738 Jerren Weekes-kanu Psychologist 41086 Williamsburg Blvd, Canton, MI 48187-3878 2015-12-21
1376924142 Lois Jean Webster Psychologist 15908 Mansfield St, Detroit, MI 48227-1959 2015-06-17
1962538058 Charlene Crickon Kushler Psychologist 1751 Brookshire Ct, Williamston, MI 48895-9372 2007-02-26
1780757559 Barbara Hofmann Psychologist 650 E Big Beaver Rd Ste A, Troy, MI 48083-1432 2006-11-17
1447350202 Tracy Renea Juliao Psychologist 31700 W 12 Mile Rd, Suite 250, Farmington Hills, MI 48334-4424 2006-09-22
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Competitor

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City DAVISON
Zip Code 48423

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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