Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 2006006594 | MO |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 31149 | TX |
NPI | 1144386814 |
---|---|
Provider Name | Dr. Richard Stiens |
First Address | Chesterfield, MO 63005-1363 |
Second Address | Chesterfield, MO 63005-1363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 29/01/2008 |