IndividualActive
Jack Stephens
NPI 1700200680 · School Psychologist · Riverside, OH
Provider details
- NPI number
- 1700200680
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1155279 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
801 Old Harshman Rd
Riverside, OH 45431-1238
Phone: (937) 259-6603
Fax: (937) 259-6611
Approximate (ZIP-level) locationGet directions
Mailing address
801 Old Harshman Rd
Riverside, OH 45431-1238
Registry dates
- Enumerated
- 2014-02-12
- Last updated
- 2014-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.