Larry Charles Stevens, Ph.d., P.c.

NPI #1417197666 in Flagstaff, Arizona

Provider Information

NPI Number: 1417197666
Entity Type: Organization
Organization Name: Larry Charles Stevens, Ph.d., P.c.
Primary Specialty: Psychologist - Health
Enumeration Date: Mar 1, 2009
Last Updated: Mar 1, 2009

Practice Location

Address: 711 N BEAVER ST
City: Flagstaff
State: Arizona
ZIP Code: 86001-3103
Phone: (928) 779-3783

Authorized Official

Name: DR. LARRY CHARLES STEVENS, PH.D.
Title: PRESIDENT
Phone: (928) 779-3783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Health — Health	103TH0004X	Primary

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