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Organization
THE STEVENS PSYCHOLOGY CLINIC
Active
Organization
THE STEVENS PSYCHOLOGY CLINIC
Active
Other names
The Stevens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SMITH (OFFICE MANAGER)
(706) 226-1146
Entity
Organization
Contact information
Practice address
405 S THORNTON AVE, DALTON, GA 30720-8285
(706) 226-1146
(706) 226-1483
Mailing address
405 SOUTH THORNTON AVE, DALTON, GA 30720
(706) 226-1146
(706) 226-1483
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
001895
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
040248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665871D
—
GA
05
—
00675353D
—
GA
Enumeration date
05/08/2008
Last updated
05/08/2008
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