Provider Demographics
NPI:1770744534
Name:STEPHENSON, MARGARET (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 WENDELL AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6306
Mailing Address - Country:US
Mailing Address - Phone:413-442-4878
Mailing Address - Fax:
Practice Address - Street 1:42 WENDELL AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6306
Practice Address - Country:US
Practice Address - Phone:413-442-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6911103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical