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LARRY CHARLES STEVENS PH.D. P.C. NPI 1417197666


NPI Information

NPI: 1417197666
Provider Name: LARRY CHARLES STEVENS, PH.D., P.C.
Classification: Psychologist - 103TH0004X
Entity Type: Organization

Specialization: Health

Address:
711 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-3783
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LARRY CHARLES STEVENS, PH.D., P.C. is a health psychologist in Flagstaff, AZ. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • LARRY CHARLES STEVENS, PH.D., P.C. NPI is 1417197666. The provider is registered as an organization entity type and is a single specialty group.

    The provider's business location address is:

    711 N BEAVER ST
    FLAGSTAFF, AZ
    ZIP 86001-103
    Phone: (928) 779-3783
    Fax: (928) 773-1150

    The provider's authorized official is Larry Charles Stevens .
    The authorized official title is President and has the following contact phone number (928) 779-3783.

    The enumeration date for this NPI number is 3/1/2009 and was last updated on 3/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TH0004XPsychologistHealth1177ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHD1177MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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