Individual
STEVENS S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
302 N YELLOWSTONE DR, MADISON, WI 53705-2446
(083) 347-6876
Mailing address
302 N YELLOWSTONE DR, MADISON, WI 53705-2446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2209
WI
Other
Enumeration date
03/30/2006
Last updated
04/11/2023
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