Stevens, Sean Edward

Stevens, Sean Edward is an sole proprietor health care provider with primary practice located at 1103 Fortune Ave , Panama City FL 32401-1831. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Stevens, Sean Edward can be contacted via phone (850) 769-6188.

Contact Information

Primary practice address
1103 Fortune Ave Panama City FL 32401-1831
Phone: (850) 769-6188
Fax: (850) 769-1261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY6478 Florida

Profile Details

NPI number 1508929324
LBN Legal business name Stevens, Sean Edward
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 19 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 1508929324 NPPES
Florida Other 54727 BLUE CROSS BLUE SHIELD

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