Stewart, Destin Nicole
Stewart, Destin Nicole is an sole proprietor health care provider with primary practice located at 3312 N Oak Street Ext Bldg D , Valdosta GA 31605-1066. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stewart, Destin Nicole can be contacted via phone (229) 244-2030.Contact Information
Primary practice address
3312 N Oak Street Ext Bldg D
Valdosta GA 31605-1066
Phone: (229) 244-2030
Fax: (229) 244-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY003712 | Georgia |
Profile Details
| NPI number | 1033545785 |
|---|---|
| LBN Legal business name | Stewart, Destin Nicole |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2013 |
| Last updated | Jan 19th, 2021 - about 4 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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