Individual
GENEVIEVE D. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4715 VIEWRIDGE AVE STE 230, SAN DIEGO, CA 92123-1680
(800) 257-8715
(800) 819-1655
Mailing address
5503 HUISACHE ST, HOUSTON, TX 77081-6620
(713) 662-9696
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-5356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040257001
—
TX
01
—
86117A
BCBS
TX
Enumeration date
09/06/2006
Last updated
02/26/2010
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