Davingman, Stephanie L
Davingman, Stephanie L is an individual health care provider with primary practice located at 1102 W Hamilton Rd , Bloomington IL 61704-8657. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davingman, Stephanie L can be contacted via phone (309) 834-3231.Contact Information
Primary practice address
1102 W Hamilton Rd
Bloomington IL 61704-8657
Phone: (309) 834-3231
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-0007470 | Illinois |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 166-000510 | Illinois |
Profile Details
NPI number | 1316208192 |
---|---|
LBN Legal business name | Davingman, Stephanie L |
Credentials | CADC, LCSW, LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2012 |
Last updated | Jun 7th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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