Individual
DR. STEPHANIE JO CZECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
830 CHALKSTONE AVENUE, PROVIDENCE VA MEDICAL CENTER, PROVIDENCE, RI 02908-4799
(401) 273-7100
Mailing address
59 WINTHROP ST, REHOBOTH, MA 02769-2605
(917) 494-3460
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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