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Individual
DR. STEPHEN H. LOOMIS
Active
Individual
DR. STEPHEN H. LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053213
MHN
NY
01
—
AS450
OXFORD
NY
Enumeration date
05/16/2007
Last updated
07/08/2007
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