Clifford K Stephens, PHD is a
Psychologist - Clinical based in Winnebago, Wisconsin. Clifford K Stephens is licensed to practice in Wisconsin (license number 2057-057) and his current practice location is
1300 South Drive, Winnebago, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 235-4910.
NPI number for Clifford K Stephens is 1255451688 and his current mailing address is 1071 Goldenrod Dr, Appleton, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255451688.
Healthcare Provider's Profile
Full Name | Clifford K Stephens |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1300 South Drive, Winnebago, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255451688
- Provider Enumeration Date: 03/30/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Clifford K Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255451688 | NPI | - | NPPES |
39148100 | Medicaid | WI | |
2057-057 | Other | WI | PSYCHOGIST NO. |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2057-057 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clifford K Stephens is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Clifford K Stephens, PHD 1071 Goldenrod Dr, Appleton, WI 54914-8892 Ph: () - | Clifford K Stephens, PHD 1300 South Drive, Winnebago, WI 54985-0009 Ph: (920) 235-4910 |
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