Individual
DAVID T. STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
405 S THORNTON AVE, DALTON, GA 30720-8285
(706) 226-1146
Mailing address
PO BOX 1927, DALTON, GA 30722-1927
(706) 226-1146
(706) 226-1483
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001895
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00675353D
—
GA
Enumeration date
06/15/2006
Last updated
11/25/2013
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