Individual
LILLIAN FLORES STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1201 BROAD ROCK BLVD, MENTAL HEALTH 116B, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, MENTAL HEALTH 116B, RICHMOND, VA 23249-0001
(804) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004751
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2009
Last updated
04/20/2015
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