Individual provider · Type 1 NPI

Mack B. Stephenson, PhD

Psychologist · Meridian, ID

NPI number 1467676254 Active

Practice location

78 SW 5th Ave, Suite 2
Meridian, ID 83642-2923

Call (208) 288-0692 Map

Fax (208) 288-0467

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY-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…

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About NPI 1467676254

Mack B. Stephenson, PhD's National Provider Identifier is 1467676254, issued on Apr 12, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Meridian, ID. The record was last updated on Jul 8, 2007.