Lawrence Edward Stevenson

Individual provider Active NPI Marriage & Family Therapist · Parachute, CO

NPI 1750629697 · NPPES record last updated Jan 28, 2013

Key facts

NPI
1750629697
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
50 Pinyon PL
Parachute, CO 81635-9526
Phone
(970) 812-4222
Fax
(206) 350-6934
NPI assigned
Jan 28, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

50 Pinyon PL
Parachute, CO 81635-9526

Mailing address

50 Pinyon PL
Parachute, CO 81635-9526
Phone (970) 812-4222

Other providers in Parachute, CO

All providers in Parachute, CO · Marriage & Family Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.