| Doctor Name: | MRS. DEDE MARANN STEPHENS |
| NPI Number: | 1528402989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 5085 S. Hwy 48 Coleman, OK - 734320219 |
| Business Phone Number: | 5809317788 |
| Business Fax Number: | |
| Mailing Address: | Po Box 219, COLEMAN |
| State: | OK |
| Postal Code: | 734320219 |
| Phone Number: | 5809317788 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2013 |
| NPI Last Update Date: | 04/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |