Organization
STEPHEN C. GILL, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN C. GILL PH.D. (MANAGER)
(928) 282-5982
Entity
Organization
Contact information
Practice address
70 PAYNE PLACE, SEDONA, AZ 86336
(928) 282-5982
(928) 282-5983
Mailing address
PO BOX 4509, SEDONA, AZ 86340-4509
(928) 282-5982
(928) 282-5983
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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