Charles Lucas Stephens in Dodge City - Psychologist

Charles Lucas Stephens - NPI 1245355361

Charles Lucas Stephens is a Psychologist in Dodge City, Kansas. Charles Lucas Stephens practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Charles Lucas Stephens is 1245355361. The last update date is 2007-07-09.

Charles Lucas Stephens's current location address is 11200 Lariat Way, Dodge City, Kansas. You can contact this provider via phone number 6202250276 and fax number 6202250276. The mailing address for Charles Lucas Stephens is 11200 Lariat Way, Dodge City, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Lucas Stephens
Address 11200 Lariat Way, Dodge City, Kansas
Phone Number 6202250276
Fax Number 6202250276
Sole Proprietor Y
Credentials LMLP, LCP

NPI Number Detail

NPI Number 1245355361
Provider Enumeration Date 2007-03-20
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 11200 Lariat Way
City Dodge City
State Kansas (KS)
Post Code 678017328
Phone Number 6202250276
Fax Number 6202250276

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 141
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Charles Lucas Stephens

What is the unique provider identifier assigned to Charles Lucas Stephens?

The Charles Lucas Stephens has been issued the NPI (National Provider Identifier) 1245355361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Charles Lucas Stephens's physical address?

The Charles Lucas Stephens is physically located at 11200 Lariat Way, in the city of Dodge City, KS, with the postal code 678017328.

What is Charles Lucas Stephens's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Charles Lucas Stephens is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1245355361 to Charles Lucas Stephens?

The Charles Lucas Stephens received its 1245355361 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.

As of what date was the information regarding Charles Lucas Stephens, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Lucas Stephens, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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