Individual
DR. WALTER STEPHANIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6 UNIVERSITY DR STE 206 PMB 115, AMHERST, MA 01002-2265
(413) 772-1370
Mailing address
6 UNIVERSITY DR STE 206 PMB 115, AMHERST, MA 01002-2265
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361
MA
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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