Dr Stephen R Connor, PHD is a
Psychologist - Clinical based in Fairfax Station, Virginia. Dr Stephen R Connor is licensed to practice in California (license number PSY 12594) and his current practice location is
10990 Rice Field Pl, Fairfax Station, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 980-8737.
NPI number for Dr Stephen R Connor is 1548327299 and his current mailing address is 10990 Rice Field Pl, Fairfax Station, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548327299.
Healthcare Provider's Profile
| Full Name | Dr Stephen R Connor |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 10990 Rice Field Pl, Fairfax Station, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548327299
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Stephen R Connor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548327299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 835 (Kentucky) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY 12594 (California) | 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. Dr Stephen R Connor 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 |
|---|
Dr Stephen R Connor, PHD
10990 Rice Field Pl,
Fairfax Station, VA 22039-1692
Ph: (703) 980-8737 | Dr Stephen R Connor, PHD
10990 Rice Field Pl,
Fairfax Station, VA 22039-1692
Ph: (703) 980-8737 |
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