MACK B. STEPHENSON, PH.D., CHTD

Psychologist

Active Organization
NPI: 1093860561

Practice Address

78 SW 5TH AVE
SUITE 2
Meridian, ID 83642

Phone: (208) 288-0692

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes PSY-202056 (ID)

Frequently Asked Questions

NPI 1093860561 is the National Provider Identifier for MACK B. STEPHENSON, PH.D., CHTD, a Psychologist provider located in Meridian, ID. This NPI was enumerated on January 24, 2007.

Quick Facts

NPI
1093860561
Type
Organization
Enumerated
Jan 24, 2007
Last Updated
Aug 22, 2020

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