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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 PH.D., PC

NPI Number 1952799694
LBN Legal business name LISA M. STEPHEN PH.D., PC
Authorized official LISA STEPHEN - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2015
Last updated 07/25/2025 - About 11 months ago
Identifiers
VT License # 048-0000778
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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