Stefanov, Michael

Stefanov, Michael is an sole proprietor health care provider with primary practice located at 302 9Th St , Honesdale PA 18431-2090. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stefanov, Michael can be contacted via phone (570) 253-6453.

Contact Information

Primary practice address
302 9Th St Honesdale PA 18431-2090
Phone: (570) 253-6453
Fax: (570) 253-5856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PS016606 Pennsylvania
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS016606 Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS016606 Pennsylvania
Behavioral Health & Social Service Providers / Family 103TF0000X PS016606 Pennsylvania
Behavioral Health & Social Service Providers / Forensic 103TF0200X PS016606 Pennsylvania
Behavioral Health & Social Service Providers / Health 103TH0004X PS016606 Pennsylvania
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PS016606 Pennsylvania
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PS016606 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS016606 Pennsylvania

Profile Details

NPI number 1912104803
LBN Legal business name Stefanov, Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2007
Last updated Feb 27th, 2019 - 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 1912104803 NPPES
Pennsylvania MEDICAID PS016606

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