Provider Demographics
NPI:1982732335
Name:SMALL, STEVEN CHRISTOPHER (MA, LMHC, PHR)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CHRISTOPHER
Last Name:SMALL
Suffix:
Gender:M
Credentials:MA, LMHC, PHR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2208
Mailing Address - Country:US
Mailing Address - Phone:508-688-0505
Mailing Address - Fax:
Practice Address - Street 1:AUBURN YOUTH AND FAMILY SERVICES C/O STEVEN SMALL
Practice Address - Street 2:21 PHEASANT COURT
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2208
Practice Address - Country:US
Practice Address - Phone:508-688-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health