Individual
DR. JOHN T STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
24520 HAWTHORNE BLVD, SUITE 220, TORRANCE, CA 90505-6800
(310) 428-6708
(310) 375-5262
Mailing address
24520 HAWTHORNE BLVD, SUITE 220, TORRANCE, CA 90505-6800
(310) 428-6708
(310) 375-5262
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY16157
CA
103TC0700X
Clinical Psychologist
PSY16157
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY16157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY161571
—
CA
Enumeration date
01/02/2007
Last updated
06/11/2013
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