| Doctor Name: | DR. DELARIOUS ONEAL STEWART |
| NPI Number: | 1982914628 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EDD, NCSP, NCC, LPC |
| License Number: | 200902 |
| Business Practice Address: | 404 Market St Port Gibson, MS - 39150 |
| Business Phone Number: | 6014374232 |
| Business Fax Number: | 6014374409 |
| Mailing Address: | Po Box 580082, PLEASANT PRAIRIE |
| State: | WI |
| Postal Code: | 53182 |
| Phone Number: | 6018671914 |
| Fax Number: | 6014374409 |
| NPI Enumeration Date: | 10/15/2010 |
| NPI Last Update Date: | 11/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 200902 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |