Clifford K Stephens, PHD | |
1300 South Drive, Winnebago, WI 54985-0009 | |
(920) 235-4910 | |
(920) 236-2931 |
Full Name | Clifford K Stephens |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1300 South Drive, Winnebago, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255451688 | NPI | - | NPPES |
39148100 | Medicaid | WI | |
2057-057 | Other | WI | PSYCHOGIST NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2057-057 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Clifford K Stephens, PHD 1071 Goldenrod Dr, Appleton, WI 54914-8892 Ph: () - | Clifford K Stephens, PHD 1300 South Drive, Winnebago, WI 54985-0009 Ph: (920) 235-4910 |
Dr. Jenna Nelson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 54, Winnebago, WI 54985 Phone: 414-220-0313 | |
Kent M Berney, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 |