Individual
LAURA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 TROY SCHENECTADY RD, SUITE 216, LATHAM, NY 12110-2442
(518) 786-1665
(518) 785-0056
Mailing address
711 TROY SCHENECTADY RD, SUITE 209, LATHAM, NY 12110-2442
(518) 786-1667
(518) 786-1954
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015756
NY
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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