Individual
STEPHEN ROBERT RAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1564
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0439B
BCBS
—
05
—
6000416
—
NC
01
—
64165
MEDCOST
—
01
—
680015008
RR MEDICARE
—
01
—
6970
PARTNERS
—
Enumeration date
12/02/2005
Last updated
11/06/2008
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