Provider Demographics
NPI:1659456184
Name:STEVENSON, STEPHANIE DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:DENISE
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:17971 HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48203-1708
Mailing Address - Country:US
Mailing Address - Phone:313-341-7035
Mailing Address - Fax:313-864-0173
Practice Address - Street 1:24424 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-3653
Practice Address - Country:US
Practice Address - Phone:313-531-2500
Practice Address - Fax:313-255-1795
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2022-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010529492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry