Individual
MR. STEPHEN BREVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 BEARFOOT RD STE 300, NORTHBOROUGH, MA 01532
(508) 922-0184
Mailing address
44 BEARFOOT RD STE 300, NORTHBOROUGH, MA 01532-1559
(781) 474-5227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10834
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2014
Last updated
01/29/2019
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