| C. Stevens Psychological Associates | |
|
1290 Highway A1a Suite 208 Satellite Beach FL 32937-2474 | |
| (321) 777-9961 | |
| Not Available |
| Full Name | C. Stevens Psychological Associates |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1290 Highway A1a, Satellite Beach, Florida |
| Authorized Official Name and Position | Charles Stevens (OWNER) |
| Authorized Official Contact | 3217779961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Stevens Psychological Associates 1290 Highway A1a Suite 208 Satellite Beach FL 32937-2474 Ph: (321) 777-9961 | C. Stevens Psychological Associates 1290 Highway A1a Suite 208 Satellite Beach FL 32937-2474 Ph: (321) 777-9961 |
| NPI Number | 1376908525 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376908525 | NPI | - | NPPES |
| 59559 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY4176 (Florida) | Primary |
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