Okiyama, Stephen Lon
Okiyama, Stephen Lon is an sole proprietor health care provider with primary practice located at 305 Knobcone Dr Unit 202 , Loveland CO 80538-5711. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Okiyama, Stephen Lon can be contacted via phone (310) 954-7492.Contact Information
Primary practice address
305 Knobcone Dr Unit 202
Loveland CO 80538-5711
Phone: (310) 954-7492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY12716 | California |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY12716 | California |
Profile Details
| NPI number | 1124162557 |
|---|---|
| LBN Legal business name | Okiyama, Stephen Lon |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2007 |
| Last updated | Nov 5th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124162557 | NPPES |
| California | MEDICAID | PSY127160 | |
| California | Other | 74310 |
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