Mack B. Stephenson in Meridian - Psychologist

Mack B. Stephenson - NPI 1467676254

Mack B. Stephenson is a Psychologist in Meridian, Idaho. Mack B. Stephenson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mack B. Stephenson is 1467676254. The last update date is 2007-07-08.

Mack B. Stephenson's current location address is 78 Sw 5th Ave, Meridian, Idaho. You can contact this provider via phone number 2082880692 and fax number 2082880467. The mailing address for Mack B. Stephenson is 78 Sw 5th Ave, Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Mack B. Stephenson
Address 78 Sw 5th Ave, Meridian, Idaho
Phone Number 2082880692
Fax Number 2082880467
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1467676254
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 78 Sw 5th Ave
City Meridian
State Idaho (ID)
Post Code 836422923
Phone Number 2082880692
Fax Number 2082880467

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY-202056
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 Mack B. Stephenson

What is the Mack B. Stephenson's unique identification number?

The Mack B. Stephenson has been assigned the NPI (National Provider Identifier) Number 1467676254 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Mack B. Stephenson's facilities are geographically located?

The facilities of Mack B. Stephenson are physically situated at the following location: 78 Sw 5Th Ave, Meridian, ID, 836422923.

What is Mack B. Stephenson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mack B. Stephenson is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.

When was the Mack B. Stephenson's 1467676254 issued?

The Mack B. Stephenson's 1467676254 was issued on 2007-04-12.

As of what date were the details pertaining to Mack B. Stephenson last refreshed?

The information related to the Mack B. Stephenson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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