# C. STEVENS PSYCHOLOGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376908525
- **Authorized official:** DR. CHARLES STEVENS PSY.D (OWNER)
- **Authorized official phone:** (321) 777-9961

## Contact information

- **Practice address:** 1290 HIGHWAY A1A, SUITE 208, SATELLITE BEACH, FL 32937-2474
- **Practice address phone:** (321) 777-9961
- **Mailing address:** 1290 HIGHWAY A1A, SUITE 208, SATELLITE BEACH, FL 32937-2474
- **Mailing address phone:** (321) 777-9961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PY4176 | FL | Yes |

## Other

- **Enumeration date:** 12/15/2015
- **Last updated:** 12/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 59559 | BCBS | FL |