Individual
ELIZABETH SARA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(703) 431-6479
Mailing address
937 N HOYNE AVE APT 2, CHICAGO, IL 60622-4904
(703) 431-6479
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043571A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/11/2022
Last updated
06/08/2022
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