| Stephens Therapy Associates, Inc. | |
|
4025 Camino Del Rio S Ste 300 San Diego CA 92108-4108 | |
| (619) 542-7720 | |
| (888) 337-3402 |
| Full Name | Stephens Therapy Associates, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4025 Camino Del Rio S Ste 300, San Diego, California |
| Authorized Official Name and Position | Brenda Stephens (DIRECTOR) |
| Authorized Official Contact | 6195427720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens Therapy Associates, Inc. 4025 Camino Del Rio S Ste 300 San Diego CA 92108-4108 Ph: (619) 542-7720 | Stephens Therapy Associates, Inc. 4025 Camino Del Rio S Ste 300 San Diego CA 92108-4108 Ph: (619) 542-7720 |
| NPI Number | 1952874042 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 01/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952874042 | NPI | - | NPPES |
| 1740419316 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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