Stephenson, Mack B.
Stephenson, Mack B. is an individual health care provider with primary practice located at 78 Sw 5Th Ave Suite 2, Meridian ID 83642-2923. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Stephenson, Mack B. can be contacted via phone (208) 288-0692.Contact Information
Primary practice address
78 Sw 5Th Ave Suite 2
Meridian ID 83642-2923
Phone: (208) 288-0692
Fax: (208) 288-0467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY-202056 | Idaho |
Profile Details
| NPI number | 1467676254 |
|---|---|
| LBN Legal business name | Stephenson, Mack B. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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