Dr. Stephanie Kann Psychologist Pc | |
533 2nd St Ste 114 Encinitas CA 92024-3558 | |
(310) 560-6190 | |
Not Available |
Full Name | Dr. Stephanie Kann Psychologist Pc |
---|---|
Speciality | Psychologist |
Location | 533 2nd St Ste 114, Encinitas, California |
Authorized Official Name and Position | Stephanie Kann (PRESIDENT) |
Authorized Official Contact | 3105606190 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr. Stephanie Kann Psychologist Pc 533 2nd St Ste 114 Encinitas CA 92024-3558 Ph: (310) 560-6190 | Dr. Stephanie Kann Psychologist Pc 533 2nd St Ste 114 Encinitas CA 92024-3558 Ph: (310) 560-6190 |
NPI Number | 1386357952 |
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Provider Enumeration Date | 12/28/2022 |
Last Update Date | 01/23/2023 |
Certification Date | 01/23/2023 |
Medicare PECOS PAC ID | 9830563998 |
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Medicare Enrollment ID | O20230313002962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386357952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Stephanie Kann |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780978395 PECOS PAC ID: 5092184853 Enrollment ID: I20230314002771 |
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