Doctor Name: | DR. ALAN D STEPHENSON |
NPI Number: | 1235179359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 24586 |
Business Practice Address: | 1324 Green Hills Ct Duncanville, TX - 751372842 |
Business Phone Number: | 9725727661 |
Business Fax Number: | 9725727661 |
Mailing Address: | 1324 Green Hills Ct, DUNCANVILLE |
State: | TX |
Postal Code: | 751372842 |
Phone Number: | 9725727661 |
Fax Number: | 9725727661 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 24586 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |