Stephen Gutknecht, | |
5629 Dovekie Ave, Ewa Beach, HI 96706-3201 | |
(155) 990-8388 | |
Not Available |
Full Name | Stephen Gutknecht |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 5629 Dovekie Ave, Ewa Beach, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811352628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY31092 (California) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
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Stephen Gutknecht, 3755 W Benjamin Holt Dr Apt 163, Stockton, CA 95219-3313 Ph: (559) 908-3883 | Stephen Gutknecht, 5629 Dovekie Ave, Ewa Beach, HI 96706-3201 Ph: (155) 990-8388 |
Mr. David Frederick Garcia, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-681-3500 | |
Dr. Stacey Ann Yim, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-778-8661 | |
Dr. Brenda Joyce Andrieu, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91-1653 Auwaha St, Ewa Beach, HI 96706 Phone: 808-681-0091 Fax: 808-681-0091 | |
Dr. Cindy K. Ikeda, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-748-3146 | |
Dr. Kenneth A Delano, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706 Phone: 808-677-2823 | |
Linda C Fox, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-748-3146 Fax: 808-591-1017 | |
Mr. Dewayne Bettag, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-681-3500 |