Individual
DR. LAURIE STEVENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 PLAZA MIDDLESEX, 3RD FLOOR, MIDDLETOWN, CT 06457
(860) 347-9911
(860) 347-8120
Mailing address
300 PLAZA MIDDLESEX, 3RD FLOOR, MIDDLETOWN, CT 06457
(860) 347-9911
(860) 347-8120
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2042
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06000204CT01
BCBS
CT
01
—
163129
VALUE OPTIONS
—
01
—
5813538
AETNA
CT
01
—
776103
CONNECTICARE
—
01
—
P811485
OXFORD
—
Enumeration date
06/19/2006
Last updated
07/08/2007
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