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NPI Code Detail

MEDICARE: STEPHANIE STOWMAN, PHD, PLLC

MEDICARE: STEPHANIE STOWMAN, PHD, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY0623NV

General Provider Information

NPI Number : 1447671524
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHANIE STOWMAN, PHD, PLLC
Provider Business Mailing Address
First Line : 11176 MONTAGNE MARRON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-3870
Country : US
Telephone Number : 702-690-5983
Fax Number :
Provider Business Practice Location Address
First Line : 4055 SPENCER ST STE 126
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5250
Country : US
Telephone Number : 702-690-5983
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. STEPHANIE STOWMAN
Credential : PHD
Telephone Number : 702-690-5983
Provider Enumeration Date : 12/17/2013
Last Update Date : 12/17/2013

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