| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA STOCKERT | 1215648118 | 2024-05-12 |
Samantha Stockert is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215648118. Registration indicates Samantha Stockert is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Samantha Stockert LLP |
| Other Provider Name | Samantha Sullivan |
| Practice Office Address | 707 W MILWAUKEE ST DETROIT, MI US |
| Practice Office Telephone | 3138332500 |
| Mailing Address | 24179 WOLVERINE CT NEW BOSTON, MI 481648805 US |
| Direct Messaging Address [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 103T00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers | 6361007774
MI |