Individual
MS. MARION S STAVIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1250 GREENWOOD DR, BETHLEHEM, PA 18017-3677
(610) 868-1577
(610) 434-6486
Mailing address
3961 LILAC RD, ALLENTOWN, PA 18103-9745
(610) 434-2485
(610) 434-6486
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007180-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02386200
CAPITAL BLUE CROSS
PA
01
—
177569
MHN
PW
01
—
4577073
AETNA
PA
01
—
ST768838
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/26/2006
Last updated
07/08/2007
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