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Contact Information

LISA M STEPHEN, PhD
145 PINE HAVEN SHORES RD STE 2294
SHELBURNE, VT05482-7703
 Phone: 802-876-1100
 Fax: 802-876-1101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA M STEPHEN · (Female)

NPI # 1699862342
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/06/2006
Last updated 04/05/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VT License # 048-0000778
  • VT License # 0480000778
  • VT Medicaid 1011334
  • VT Other 362-58036 BLUE CROSS/BLUE SHIELD
  • VT Other 2060312 CIGNA BEHAVIORAL HEALTH
  • VT Other 189876000 MAGELLEN
  • VT Other 415801 MVP HEALTHCARE
  • VT Other 113769 TEAMSTERS BENEFIT HEALTH
  • VT Other 87726 UNITED BEHAVIORAL HEALTH
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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