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Individual

STEPHANIE ROSS POTTS

Active
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Individual

STEPHANIE ROSS POTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071.010747
IL
103G00000X
Clinical Neuropsychologist
2018013237
MO
103G00000X
Clinical Neuropsychologist
Primary
5131
WI
103T00000X
Psychologist
071.010747
IL
103T00000X
Psychologist
2018013237
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100266414
WI
Enumeration date
07/18/2019
Last updated
09/10/2024
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