Mack B. Stephenson, Ph D , Chtd
Mack B. Stephenson, Ph D , Chtd is a Psychologist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
78 SW 5th Ave Ste 2Meridian, ID 83642-2923
Phone: (208) 288-0692
Fax: (208) 288-0467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence PSY-202056 (ID) |
|---|
Record details
| NPI number | 1093860561 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mack Stephenson — President · (208) 288-0692 |
| NPI enumerated | January 24, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 78 Sw 5th Ave, Suite 2, Meridian, ID 83642-2923 |
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