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NPI Code Detail

MEDICARE: DR. JANEE NICOLE STEVENSON PSYD

MEDICARE:  DR. JANEE NICOLE STEVENSON  PSYD
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 Psychologist38851TX

General Provider Information

NPI Number : 1578137931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANEE NICOLE STEVENSON PSYD
Provider Business Mailing Address
First Line : 3231 DAWN REDWOOD LN
Second Line :
City : KATY
State : TX
Zip : 77449-6985
Country : US
Telephone Number : 610-213-5596
Fax Number :
Provider Business Practice Location Address
First Line : 22001 SOUTHWEST FWY STE 125
Second Line :
City : RICHMOND
State : TX
Zip : 77469-7118
Country : US
Telephone Number : 844-824-8775
Fax Number : 281-648-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2021
Last Update Date : 07/01/2025

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