Individual
DR. LARRY CHARLES STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
103T00000X
Psychologist
Primary
1177
AZ
Other
Enumeration date
04/03/2007
Last updated
04/30/2017
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