Organization
STEPHEN MAYVILLE A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MAYVILLE PH.D. (OWNER)
(775) 560-2196
Entity
Organization
Contact information
Practice address
10631 PROFESSIONAL CIR STE A, RENO, NV 89521-5835
(775) 826-6218
(775) 826-6271
Mailing address
PO BOX 70711, RENO, NV 89570-0711
(775) 560-2196
(775) 826-6271
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
07/27/2020
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