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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MACK B. STEPHENSON, PH.D., CHTD

Active Organization

MACK B. STEPHENSON, PH.D., CHTD is a Psychologist organization located in MERIDIAN, Idaho. NPI 1093860561 is currently active in the NPPES registry. Verify at CMS.

Psychologist · MERIDIAN, ID

Registration Details

NPI Number
1093860561
Provider Type
Organization
NPI Issued
Jan 24, 2007 (19.573718708917 yrs)
Last Updated
Aug 22, 2020
License
PSY-202056 (ID)

Practice Information

Address
78 SW 5TH AVE
SUITE 2
MERIDIAN, ID, 836422923
Browse ID providers · Browse ZIP 83642
Phone
2082880692
Fax
2082880467
Primary Specialty
Psychologist
103T00000X

Other Psychologist Organizations in MERIDIAN, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.