Provider Demographics
NPI:1437331972
Name:STEPHENS, ANTHONY HENRY THOMAS (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:HENRY THOMAS
Last Name:STEPHENS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 CLEVELAND DR
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-2751
Mailing Address - Country:US
Mailing Address - Phone:914-271-4632
Mailing Address - Fax:
Practice Address - Street 1:56 CLEVELAND DR
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-2751
Practice Address - Country:US
Practice Address - Phone:914-271-4632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002982101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000OtherNONE