Provider Demographics
NPI:1457525016
Name:STEVENSON, LOUISE DUFFY (LPCMH)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:DUFFY
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2610 CATHOLIC CHARITIES
Mailing Address - Street 2:2601 W. 4TH STREET
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-0610
Mailing Address - Country:US
Mailing Address - Phone:302-655-9624
Mailing Address - Fax:302-654-6432
Practice Address - Street 1:2601 W. 4TH STREET
Practice Address - Street 2:CATHOLIC CHARITIES
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805
Practice Address - Country:US
Practice Address - Phone:302-655-9624
Practice Address - Fax:302-654-3432
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health