Davis, Stephanie

Davis, Stephanie is an individual health care provider with primary practice located at 12821 Victory Blvd , North Hollywood CA 91606-3012. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Davis, Stephanie can be contacted via phone (818) 403-7705.

Contact Information

Primary practice address
12821 Victory Blvd North Hollywood CA 91606-3012
Phone: (818) 403-7705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1730501016
LBN Legal business name Davis, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2014
Last updated Oct 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730501016 NPPES
California MEDICAID 7420
California MEDICAID 7068
California MEDICAID 6758

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