Individual
JEFFREY STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
9706 4TH AVE NE, SUITE 203, SEATTLE, WA 98115-2157
(206) 517-7697
(206) 729-7078
Mailing address
2099 N COLLINS BLVD, SUITE 100, RICHARDSON, TX 75080-2698
(972) 437-4698
(972) 671-2087
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00003255
WA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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