Individual
STEPHEN GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
70 N PAYNE PL, SEDONA, AZ 86336-4536
(928) 282-5982
(928) 282-5983
Mailing address
PO BOX 4509, SEDONA, AZ 86340-4509
(928) 282-5982
(928) 282-5983
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY11426
CA
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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