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Individual

DR. JENNIFER L. STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
25 MAIN ST, #217, STOCKBRIDGE, MA 01262
(413) 931-5275
(413) 298-4029
Mailing address
PO BOX 962, 25 MAIN STREET, STOCKBRIDGE, MA 01262-0962
(413) 931-5275
(413) 298-4029

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
016067
NY
102L00000X
Psychoanalyst
7993
MA
103T00000X
Psychologist
016067
NY
103T00000X
Psychologist
Primary
7993
MA
103TC0700X
Clinical Psychologist
016067
NY

Other

Enumeration date
05/06/2008
Last updated
12/14/2015
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