| Doctor Name: | DR. TANYA R STEPHANSON |
| NPI Number: | 1194042648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 34363 |
| Business Practice Address: | 2400 14th St Brownwood, TX - 768018024 |
| Business Phone Number: | 3256462585 |
| Business Fax Number: | |
| Mailing Address: | 2400 14th St, BROWNWOOD |
| State: | TX |
| Postal Code: | 768018024 |
| Phone Number: | 3256462585 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 34363 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |