Stephens, Betty

Stephens, Betty is an sole proprietor health care provider with primary practice located at 2988 Majestic Isle Dr , Clermont FL 34711-5271. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Stephens, Betty can be contacted via phone (321) 948-5355.

Contact Information

Primary practice address
2988 Majestic Isle Dr Clermont FL 34711-5271
Phone: (321) 948-5355
Fax: (352) 421-2099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X Florida

Profile Details

NPI number 1477501641
LBN Legal business name Stephens, Betty
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Aug 11th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477501641 NPPES
Florida MEDICAID 684984996
Florida MEDICAID 684984998

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