Doctor Name: | STEVEN B. MAYHEW |
NPI Number: | 1063502904 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 1276 |
Business Practice Address: | 200 E. Centennial Dr. Suite 13 Pittsburg, KS - 66762 |
Business Phone Number: | 6202311068 |
Business Fax Number: | 6202312792 |
Mailing Address: | 105 W. 7th. Street, Suite 100-a PITTSBURG |
State: | KS |
Postal Code: | 66762 |
Phone Number: | 6202317600 |
Fax Number: | 6202317602 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 12/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |