MACK STEPHENSON, PH.D.

Psychologist

Active Individual
NPI: 1467676254

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 1467676254 is the National Provider Identifier for MACK STEPHENSON, PH.D., a Psychologist provider located in Meridian, ID. This NPI was enumerated on April 12, 2007.
MACK STEPHENSON, PH.D. practices at 78 SW 5TH AVE, SUITE 2, Meridian, ID 83642.

Quick Facts

NPI
1467676254
Type
Individual
Enumerated
Apr 12, 2007
Last Updated
Jul 8, 2007

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