Individual
DR. JENNA M STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
222 W COLEMAN BLVD STE 214, MOUNT PLEASANT, SC 29464-3588
(843) 427-3941
Mailing address
302 RIVER OAK DR, MT PLEASANT, SC 29464-8293
(937) 475-3086
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
003564
CT
103TC0700X
Clinical Psychologist
Primary
1516
SC
Other
Enumeration date
05/11/2016
Last updated
12/11/2024
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