Individual
ANTHONY TODD STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 W ST, BEDFORD, IN 47421-1954
(812) 275-4821
Mailing address
460 W ST, BEDFORD, IN 47421-1954
(812) 275-4821
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
529648
IN
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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