Individual
DR. MICHELLE A STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
20 W 74TH ST, NEW YORK, NY 10023-2401
(212) 873-0725
Mailing address
20 W 74TH ST, NEW YORK, NY 10023-2401
(212) 873-0725
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001021
NY
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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