# STEPHEN C. LOTT, PSY.D. LLC

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

## Provider details

- **NPI number:** 1609267475
- **Authorized official:** DR. STEPHEN C. LOTT PSY.D. (PRESIDENT)
- **Authorized official phone:** (850) 764-5431

## Contact information

- **Practice address:** 105 E GREGORY SQ, SUITE G, PENSACOLA, FL 32502-4971
- **Practice address phone:** (850) 764-5431
- **Practice address fax:** (850) 659-2159
- **Mailing address:** 105 E GREGORY SQ, SUITE G, PENSACOLA, FL 32502-4971
- **Mailing address phone:** (850) 764-5431
- **Mailing address fax:** (850) 659-2159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | PY4497 | FL | Yes |

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 02/13/2015