Individual
KEVIN GEORGE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 355-7500
(614) 355-7533
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 355-7500
(614) 355-7533
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419317
—
OH
Enumeration date
06/02/2017
Last updated
04/09/2025
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