Active NPIIndividual provider

Lisa M Stephen, PHD

Psychologist, Clinical in Shelburne, Vermont

NPI Number1699862342
Practice location
145 Pine Haven Shores RD Ste 2294, Shelburne, VT 05482-7703
Fax
802-876-1101
Last updated
April 5, 2025

Lisa M. Stephen is a Psychologist, Clinical based in Shelburne, VT. Lisa M. Stephen practices in Shelburne, VT and has the professional credentials of PHD. The NPI Number for Lisa M. Stephen is 1699862342 and holds a License No. 048-0000778 (VT). The current practice location address for Lisa M. Stephen is 145 Pine Haven Shores RD Ste 2294, Shelburne, VT 05482-7703 and can be reached out via phone at 802-876-1100 and via fax at 802-876-1101.

Provider Profile Details

NPI Number
1699862342
Provider Name
Lisa M. Stephen
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
145 Pine Haven Shores RD Ste 2294, Shelburne, VT 05482-7703
Phone Number
802-876-1100
Fax Number
802-876-1101
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
October 6, 2006
Last Update Date
April 5, 2025
Certification Date
April 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
145 Pine Haven Shores RD Ste 2294
Shelburne, VT 05482-7703
State
Vermont
Zip
05482-7703
Phone Number
802-876-1100
Fax Number
802-876-1101
Shelburne, VT 05482Get directions →

Provider Business Mailing Address Details

Address
Po Box 302
Jericho, VT 05465-0302
City
Jericho
State
VT
Zip
05465-0302
Phone Number
802-355-9299
Fax Number
802-419-3399

License Information

License Number (1)
048-0000778
License State (1)
VT
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
048-0000778
License State (2)
VT
Taxonomy (2)
Psychologist, Counseling · 103TC1900X
License Number (3)
048-0000778
License State (3)
VT
License Number (4)
048-0000778
License State (4)
VT
Taxonomy (4)
Psychologist, Family · 103TF0000X
License Number (5)
0480000778
License State (5)
VT
Taxonomy (5)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Stephen, PHD?

The NPI number of Lisa M Stephen, PHD is 1699862342. It was assigned on October 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Lisa M Stephen, PHD?

Lisa M Stephen, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 048-0000778.

Where does Lisa M Stephen, PHD practice?

The practice location is 145 Pine Haven Shores RD Ste 2294, Shelburne, VT 05482-7703. The office can be reached at 802-876-1100 (phone) or 802-876-1101 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699862342 directly on the NPPES registry website.

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