Doctor Name: | PAUL STEVENS |
NPI Number: | 1104152933 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W. |
License Number: | 28981 |
Business Practice Address: | 2081 Palos Verdes Dr N Lomita, CA - 907173701 |
Business Phone Number: | 3103256542 |
Business Fax Number: | |
Mailing Address: | 2081 Palos Verdes Dr N, LOMITA |
State: | CA |
Postal Code: | 907173701 |
Phone Number: | 3103256542 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2009 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 28981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |