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Individual

DR. JONATHAN D STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
430 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-7978
(360) 457-1610
(253) 477-2287
Mailing address
430 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-7978
(360) 457-1610
(253) 477-2287

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
04219
MD
103TC0700X
Clinical Psychologist
Primary
PY60914599
WA

Other

Enumeration date
02/02/2007
Last updated
08/27/2019
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