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Contact Information

STEPHEN L CHESHIRE III, PhD
2235 MAIN ST NE
SUITE C
LOS LUNAS, NM87031
 Phone: 505-916-0820
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEPHEN L CHESHIRE III · (Male)

NPI Number 1346397387
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/04/2007
Last updated 09/13/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PSY002308
  • NM License # 0042
  • NM License # 1251
  • GA Medicaid 000896816D
  • GA Other 277711000 MAGELLAN PROVIDER ID
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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