Provider Demographics
NPI:1063569069
Name:LITTRELL, STEVEN H (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:H
Last Name:LITTRELL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:1397 MANCHESTER DR NE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3882
Mailing Address - Country:US
Mailing Address - Phone:770-922-0255
Mailing Address - Fax:770-922-3132
Practice Address - Street 1:1397 MANCHESTER DR NE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3882
Practice Address - Country:US
Practice Address - Phone:770-922-0255
Practice Address - Fax:770-922-3132
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA1664101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional