Provider Demographics
NPI:1730288028
Name:BOND, STEPHANIE SALYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:SALYN
Last Name:BOND
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:STEPHANIE
Other - Middle Name:SALYN
Other - Last Name:DUTTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3511 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32448-9209
Mailing Address - Country:US
Mailing Address - Phone:850-832-2569
Mailing Address - Fax:
Practice Address - Street 1:U.S. ARMY HEALTH CLINIC STUTTGART
Practice Address - Street 2:UNIT 30401 ATTN: STEPHANIE BOND, PSYD
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09154-0401
Practice Address - Country:US
Practice Address - Phone:314-590-1635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC1900X
FLPY8095103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling