Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 5467 | OH |
Y | 103G00000X | Clinical Psychologist | 5467 | OH |
Y | 103TC0700X | Clinical Psychologist | 5467 | OH |
NPI | 1003207846 |
---|---|
Provider Name | Dr. Stephen Billmann |
First Address | Mason, OH 45040-7350 |
Second Address | Mason, OH 45040-7350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2015 |
Last Update Date | 16/02/2015 |