| Stephanie Stowman, Phd, Pllc | |
|
4055 Spencer St Ste 126 Las Vegas NV 89119-5250 | |
| (702) 690-5983 | |
| Not Available |
| Full Name | Stephanie Stowman, Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4055 Spencer St Ste 126, Las Vegas, Nevada |
| Authorized Official Name and Position | Stephanie Stowman (OWNER) |
| Authorized Official Contact | 7026905983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Stowman, Phd, Pllc 11176 Montagne Marron Blvd Las Vegas NV 89141-3870 Ph: (702) 690-5983 | Stephanie Stowman, Phd, Pllc 4055 Spencer St Ste 126 Las Vegas NV 89119-5250 Ph: (702) 690-5983 |
| NPI Number | 1447671524 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Medicare PECOS PAC ID | 2264660273 |
|---|---|
| Medicare Enrollment ID | O20140122000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447671524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0623 (Nevada) | Primary |
| Provider Name | Stephanie Stowman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750615886 PECOS PAC ID: 0648453639 Enrollment ID: I20121115000117 |
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