Individual
GARY BRADLEY STEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
600 N JORDAN AVE, CAPS, 4TH FLOOR, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Mailing address
600 N JORDAN AVE, CAPS, 4TH FLOOR, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042480A
IN
Other
Enumeration date
09/03/2010
Last updated
12/19/2012
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