Stephanie Helen Schultze Ponce, | |
3840 Homestead Rd, Santa Clara, CA 95051-4542 | |
(408) 851-4922 | |
Not Available |
Full Name | Stephanie Helen Schultze Ponce |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3840 Homestead Rd, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013241256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 52811 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Helen Schultze Ponce, 100 Commonwealth Ave, San Francisco, CA 94118-2604 Ph: (415) 828-7813 | Stephanie Helen Schultze Ponce, 3840 Homestead Rd, Santa Clara, CA 95051-4542 Ph: (408) 851-4922 |
Jason Nerio, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 | |
Chuck Kaspar, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3140 De La Cruz Blvd, S200, Santa Clara, CA 95054 Phone: 408-988-1182 Fax: 408-970-4204 | |
Ms. Taraneh Roosta, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 281 Woodhams Rd, Santa Clara, CA 95051 Phone: 408-966-5612 | |
Lilian Garcia, MFC 85016 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1588 Homestead Rd., Suite 7, Santa Clara, CA 95050 Phone: 650-690-2997 Fax: 888-925-2429 | |
Gabrielle Mattson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1588 Homestead Rd, Santa Clara, CA 95050 Phone: 408-689-8104 | |
Geovana Scarlett Marquez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Coleman Ave Ste B13, Santa Clara, CA 95050 Phone: 650-618-9500 | |
Mrs. Jennifer Elizabeth Stuckey, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Pob 2094, Santa Clara, CA 95055 Phone: 650-688-3623 |