Organization · Type 2 NPI
Mack B. Stephenson, Ph.d., CHTD
Psychologist · Meridian, ID
Practice location
78 SW 5th Ave, Suite 2
Meridian, ID 83642-2923
Fax (208) 288-0467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY-202056 (ID) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
Another provider at this address
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About NPI 1093860561
Mack B. Stephenson, Ph.d., CHTD's National Provider Identifier is 1093860561, issued on Jan 24, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Meridian, ID. The record was last updated on Aug 22, 2020.