Provider Demographics
NPI:1144825498
Name:STEVENSON, BARBARA JANINE (CRDH)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JANINE
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:CRDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 OAK FOREST DR
Mailing Address - Street 2:
Mailing Address - City:WAUCHULA
Mailing Address - State:FL
Mailing Address - Zip Code:33873-3070
Mailing Address - Country:US
Mailing Address - Phone:863-245-1432
Mailing Address - Fax:
Practice Address - Street 1:901 US HIGHWAY 27 N STE 60
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2129
Practice Address - Country:US
Practice Address - Phone:863-471-1176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist