Mack B. Stephenson, Ph.D., Chtd in Meridian - Psychologist
Mack B. Stephenson, Ph.D., Chtd - NPI 1093860561
Mack B. Stephenson, Ph.D., Chtd is a Psychologist in Meridian, Idaho. Mack B. Stephenson, Ph.D., Chtd practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mack B. Stephenson, Ph.D., Chtd is 1093860561. The last update date is 2020-08-22.
Mack B. Stephenson, Ph.D., Chtd'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, Ph.D., Chtd is 78 Sw 5th Ave, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mack B. Stephenson, Ph.D., Chtd |
|---|---|
| Address | 78 Sw 5th Ave, Meridian, Idaho |
| Phone Number | 2082880692 |
| Fax Number | 2082880467 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stephenson B. Mack |
| Credentials | PH.D. |
| Telephone Number | 2082880692 |
NPI Number Detail
| NPI Number | 1093860561 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2020-08-22 |
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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mack B. Stephenson, Ph.D., Chtd by the Centers for Medicare & Medicaid Services?
The Mack B. Stephenson, Ph.D., Chtd has been issued the NPI (National Provider Identifier) 1093860561, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mack B. Stephenson, Ph.D., Chtd's facilities are situated?
The facilities of Mack B. Stephenson, Ph.D., Chtd are physically located at the following address: 78 Sw 5Th Ave, Meridian, ID, 836422923.
What is the Mack B. Stephenson, Ph.D., Chtd's specialty and taxonomy code?
The Mack B. Stephenson, Ph.D., Chtd's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Mack B. Stephenson, Ph.D., Chtd receive the assignment of its 1093860561 from the Centers for Medicare & Medicaid Services?
The Mack B. Stephenson, Ph.D., Chtd was issued its 1093860561 by the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the information regarding Mack B. Stephenson, Ph.D., Chtd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mack B. Stephenson, Ph.D., Chtd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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