Individual
GREGORY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PHD
Contact information
Practice address
2820 LASSITER RD STE C200, MARIETTA, GA 30062-8333
(470) 531-2847
Mailing address
707 E GREEN LN, WOODSTOCK, GA 30189-7028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003961
GA
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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