Sandberg, Stephanie L

Sandberg, Stephanie L is an sole proprietor health care provider with primary practice located at 512 Sw 23Rd St , El Reno OK 73036-5856. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sandberg, Stephanie L can be contacted via phone (405) 651-8562.

Contact Information

Primary practice address
512 Sw 23Rd St El Reno OK 73036-5856
Fax: (405) 776-3169
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1649728247
LBN Legal business name Sandberg, Stephanie L
Credentials M.S., LADC/MH, LPC-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2016
Last updated Jan 20th, 2020 - about 6 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 1649728247 NPPES
Oklahoma MEDICAID 200706340B

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