Individual
FRANK STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Contact information
Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2259
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 339-8109
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041469A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200319820
—
IN
Enumeration date
04/03/2006
Last updated
04/29/2009
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