Individual
DR. KEVIN PAUL STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1305 MIDDLE COUNTRY RD, SELDEN, NY 11784-2554
(631) 921-6082
Mailing address
40 RIVIERA DR, SELDEN, NY 11784-1766
(631) 921-6082
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
014112-1
NY
103TC0700X
Clinical Psychologist
Primary
014112-1
NY
Other
Enumeration date
09/20/2011
Last updated
09/27/2011
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