Individual
DR. SEAN EDWARD STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1103 FORTUNE AVE, PANAMA CITY, FL 32401-1831
(850) 769-6188
(850) 769-1261
Mailing address
4045 ILEX CIR, PANAMA CITY, FL 32405-4854
(850) 271-2178
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54727
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/19/2006
Last updated
07/08/2007
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