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Individual

DR. STEPHEN BRADLEY MAYVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
10631 PROFESSIONAL CIR, STE. A, RENO, NV 89521-5848
(775) 826-6218
(775) 826-6271
Mailing address
PO BOX 70711, RENO, NV 89570-0711
(775) 826-6218
(775) 826-6271

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0477
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100506484
NV
Enumeration date
09/22/2006
Last updated
07/30/2015
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