Provider Demographics
NPI:1407474596
Name:BANERJEE-STEVENS, DEVJANI (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEVJANI
Middle Name:
Last Name:BANERJEE-STEVENS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WILLIAMSBURG LN STE A
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-5520
Mailing Address - Country:US
Mailing Address - Phone:530-636-4893
Mailing Address - Fax:
Practice Address - Street 1:15 WILLIAMSBURG LN STE A
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-5520
Practice Address - Country:US
Practice Address - Phone:530-636-4893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26239103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling