Organization
LARRY CHARLES STEVENS, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY CHARLES STEVENS PH.D. (PRESIDENT)
(928) 779-3783
Entity
Organization
Contact information
Practice address
711 N BEAVER ST, FLAGSTAFF, AZ 86001-3103
(928) 779-3783
(928) 773-1150
Mailing address
711 N BEAVER ST, FLAGSTAFF, AZ 86001-3103
(928) 779-3783
(928) 773-1150
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
1177
AZ
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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