Individual
DR. EDWARD ELSWORTH STEVENSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
137 PUTNAM AVE, FREEPORT, NY 11520-1151
(516) 868-2583
(516) 868-6253
Mailing address
137 PUTNAM AVE, FREEPORT, NY 11520-1151
(516) 868-2583
(516) 868-6253
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005156-1
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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