Individual
MRS. BETTY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2988 MAJESTIC ISLE DR, CLERMONT, FL 34711-5271
(321) 948-5355
(352) 421-2099
Mailing address
2988 MAJESTIC ISLE DR, CLERMONT, FL 34711-8846
(352) 432-3262
(352) 241-2099
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684984996
—
FL
05
—
684984998
—
FL
Enumeration date
05/04/2006
Last updated
08/11/2010
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