Stanfill, Michael Lee

Stanfill, Michael Lee is an sole proprietor health care provider with primary practice located at 11878 Avenue Of Industry , San Diego CA 92128-3423. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stanfill, Michael Lee can be contacted via phone (858) 675-4200.

Contact Information

Primary practice address
11878 Avenue Of Industry San Diego CA 92128-3423
Phone: (858) 675-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY60273012 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PY60273012 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60273012 Washington
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY60273012 Washington
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY60273012 Washington
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY60273012 Washington
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PY60273012 Washington
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY60273012 Washington

Profile Details

NPI number 1487835203
LBN Legal business name Stanfill, Michael Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2007
Last updated Jul 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487835203 NPPES
Washington Other PY60273012 PSYCHOLOGY LICENSE

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