| Doctor Name: | ELIZABETH ANN STEPHENS |
| NPI Number: | 1124135363 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | 70000145A |
| Business Practice Address: | 655 E Main St Peru, IN - 469702662 |
| Business Phone Number: | 7654721931 |
| Business Fax Number: | 7654721945 |
| Mailing Address: | 1015 Michigan Ave, LOGANSPORT |
| State: | IN |
| Postal Code: | 469471526 |
| Phone Number: | 5747225151 |
| Fax Number: | 5747320504 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 01/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 70000145A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |