Clifford K Stephens, PH.D

NPI #1255451688 in Winnebago, Wisconsin

Provider Information

NPI Number: 1255451688
Entity Type: Individual
Name: Clifford K Stephens, PH.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1300 SOUTH DRIVE
City: Winnebago
State: Wisconsin
ZIP Code: 54985-0009
Phone: (920) 235-4910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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