Doctor Name: | MR. GREGG ALAN STEPHENS |
NPI Number: | 1053508309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.W., L.S.W. |
License Number: | S 0500755 |
Business Practice Address: | 94 N Sandusky St Delaware, OH - 430151775 |
Business Phone Number: | 7403637234 |
Business Fax Number: | 7403695931 |
Mailing Address: | 2803 Akron Rd, WOOSTER |
State: | OH |
Postal Code: | 446917904 |
Phone Number: | 3302643232 |
Fax Number: | 3302023878 |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | S 0500755 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |