Doctor Name: | DR. STEPHEN BILLMANN |
NPI Number: | 1003207846 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | 5467 |
Business Practice Address: | 8118 Corporate Way Suite #121 Mason, OH - 450407350 |
Business Phone Number: | 5132973455 |
Business Fax Number: | 5132970841 |
Mailing Address: | 8118 Corporate Way, Suite #121 MASON |
State: | OH |
Postal Code: | 450407350 |
Phone Number: | 5132973455 |
Fax Number: | 5132970841 |
NPI Enumeration Date: | 02/16/2015 |
NPI Last Update Date: | 02/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 5467 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |