Stephens, Dorothy W

Stephens, Dorothy W is an individual health care provider with primary practice located at 3701 Bellemeade Ave , Evansville IN 47714-0137. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Stephens, Dorothy W can be contacted via phone (812) 479-1411.

Contact Information

Primary practice address
3701 Bellemeade Ave Evansville IN 47714-0137
Phone: (812) 479-1411
Fax: (812) 437-2636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20010274A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0268 Kentucky
Behavioral Health & Social Service Providers / Health Service 103TH0100X 20010274A Indiana
Behavioral Health & Social Service Providers / Health Service 103TH0100X 0268 Kentucky
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 20010274A Indiana
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 0268 Kentucky
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20010274A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0268 Kentucky
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 20010274A Indiana
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 0268 Kentucky

Profile Details

NPI number 1548322407
LBN Legal business name Stephens, Dorothy W
Credentials PH.D., HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated May 5th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548322407 NPPES
Indiana MEDICAID 200491750A
Indiana Other 000000218521

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