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Contact Information

LISA M. STEPHEN PH.D., PC
145 PINE HAVEN SHORES RD STE 2294
SHELBURNE, VT05482-7703
 Phone: 802-355-9299
 Fax: 802-419-3399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

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

NPI Number 1952799694
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2015
Last updated 07/25/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers
  • VT License # 048-0000778
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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