Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NATHANAEL MARK STEPHENS, LP, LPC
Active Sole ProprietorDR. NATHANAEL MARK STEPHENS, LP, LPC is a Counseling Psychologist healthcare provider located in DIMONDALE, Michigan. NPI 1912348475 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · DIMONDALE, MI
Registration Details
- NPI Number
- 1912348475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2013 (13.053228833408 yrs)
- Last Updated
- Aug 8, 2021
- Licenses
-
6401010248 (MI)6401010246 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 WAVERLY RDDIMONDALE, MI, 488219642Browse MI providers · Browse ZIP 48821
- Phone
- 5175076410
- Fax
- 5178829969
- Primary Specialty
-
Counseling Psychologist
103TC1900X
- Additional Specialty
- Counseling Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.