Theodore Stevens, PH.D

NPI 1790824381 · on the registry since 2007 · sole proprietor

Practice

Address: 3076 Brickhouse Ct
Virginia Beach, VA 23452
Phone: (757) 486-0909
Fax: (757) 340-7518
Organisation at this address: Gloria K Gurdziel Md Ltd
Lakeside Psychological Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia