Provider Demographics
NPI:1437591955
Name:STEWART, DEVIN HOWARD
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:HOWARD
Last Name:STEWART
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 ASHEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-2006
Mailing Address - Country:US
Mailing Address - Phone:864-582-5843
Mailing Address - Fax:864-582-7111
Practice Address - Street 1:1530 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2006
Practice Address - Country:US
Practice Address - Phone:864-582-5843
Practice Address - Fax:864-582-7111
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health