Theresa Stack, LMSW

NPI 1427251909 · on the registry since 2007 · sole proprietor

Practice

Address: 512 S Union St
Traverse City, MI 49684
Phone: (231) 941-6550
Fax: (231) 941-8981
Organisation at this address: Old Town Psychological Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan