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Contact Information

LARRY CHARLES STEVENS, PH.D., P.C.
711 N BEAVER ST
FLAGSTAFF, AZ86001-3103
 Phone: 928-779-3783
 Fax: 928-773-1150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LARRY CHARLES STEVENS, PH.D., P.C.

NPI # 1417197666
LBN Legal business name LARRY CHARLES STEVENS, PH.D., P.C.
Authorized official LARRY STEVENS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2009
Last updated 03/01/2009 - About 17 years ago
Identifiers
AZ License # 1177
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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