Individual
JEREMY SCOTT STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(913) 588-2496
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY.0004917
CO
103TC0700X
Clinical Psychologist
2011031533
MO
Other
Enumeration date
10/19/2011
Last updated
12/17/2018
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