Individual
KAREN R STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
270 HORIZON DR, RALEIGH, NC 27615-4922
(919) 845-0623
(919) 488-1716
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107388
—
NC
Enumeration date
11/28/2006
Last updated
01/23/2013
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