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
Fax: (229) 244-2038
Website:

Health care specialties

SpecialtyCodeLicense #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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