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Individual

MRS. DOROTHY W STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., HSPP

Contact information

Practice address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2636
Mailing address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2636

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0268
KY
103T00000X
Psychologist
Primary
20010274A
IN
103TC0700X
Clinical Psychologist
0268
KY
103TC0700X
Clinical Psychologist
20010274A
IN
103TH0100X
Health Service Psychologist
0268
KY
103TH0100X
Health Service Psychologist
20010274A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
0268
KY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
20010274A
IN
103TP2701X
Group Psychotherapy Psychologist
0268
KY
103TP2701X
Group Psychotherapy Psychologist
20010274A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000218521
ANTHEM BC AND BS
IN
05
200491750A
IN
Enumeration date
12/15/2006
Last updated
05/05/2008
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