Individual
DR. SAM STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(954) 770-4614
Mailing address
25 ENCHANTED OAK DR, FREDERICKSBURG, VA 22405-5792
(954) 770-4614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8061
FL
103TF0200X
Forensic Psychologist
8061
FL
Other
Enumeration date
02/15/2006
Last updated
02/10/2021
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