DR. Michael Jonathan Stevens, PHD
NPI #1174631816 in Bloomington, Illinois
Provider Information
- NPI Number
- 1174631816
- Entity Type
- Individual
- Name
- DR. Michael Jonathan Stevens, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 901 E GROVE STREET
- Address 2
- SUITE F
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701
- Phone
- (309) 662-5293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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