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Contact Information

NORMAN R STEVENS, LISAC
337 N. NAVAJO DRIVE
PAGE, AZ86040
 Phone: 928-645-6840
 Fax: 928-645-8158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for NORMAN R STEVENS · (Male)

NPI Number 1053341461
Status Active
Credentials LISAC
Entity Individual
Enumeration date 07/03/2006
Last updated 11/20/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # LISAC-11673
  • AZ Medicaid 972605
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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