Matthew A Stack, PA C - Ithaca, MI

Matthew A Stack, PAC

Physician Assistant in Ithaca, Michigan

NPI 1033108667

Matthew A Stack is a Physician Assistant based in Ithaca, MI. Matthew A Stack practices in Ithaca, MI and has the professional credentials of PAC. The NPI Number for Matthew A Stack is 1033108667 and holds a License No. 6301007939 (Michigan).

The current practice location address for Matthew A Stack is 121 N Pine River St, Ithaca, MI and can be reached out via phone at 989-287-0662.

Location: 121 N Pine River St, Ithaca, MI, 48847-1039

NPI Number

1033108667

Provider Name

Matthew A Stack

Credential

PAC

Provider Entity Type

Individual

Gender

Male

Address

121 N Pine River St, Ithaca, MI, 48847-1039

Phone Number

989-287-0662

Fax Number

Provider Enumeration Date

10/17/2005

Last Update Date

05/18/2024

Identifier	Type	State	Issuer
P00140431	01	AZ	RAILROAD
0852900260	01	MI	BCBSM
762246	05	AZ
50155318	01	NM	MEDICAID

Address

121 N Pine River St

City

Ithaca

State

Michigan

Zip

48847-1039

Phone Number

989-287-0662

Fax Number

Address

121 N Pine River St

City

Ithaca

State

Michigan

Zip

48847-1039

Phone Number

989-287-0662

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Taxonomy

103T00000X

License No.

()

Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Type

Physician Assistants & Advanced Practice Nursing Providers

Classification

Physician Assistant

Speciality

Taxonomy

363A00000X

License No.

2782 (Arizona)

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Type

Physician Assistants & Advanced Practice Nursing Providers

Classification

Physician Assistant

Speciality

Medical

Taxonomy

363AM0700X

License No.

6301007939 (Michigan)

Definition

Definition to come...

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