Individual
MRS. ANGELA ERVIN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.C.B.A
Contact information
Practice address
4738 WALNUT GROVE RD, MEMPHIS, TN 38117-2524
(901) 288-8819
Mailing address
2965 N GERMANTOWN RD, BARTLETT, TN 38133-4055
(901) 683-8787
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
23-7412893
TN
Other
Enumeration date
11/27/2011
Last updated
11/27/2011
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