Stephenson, Justine S
Stephenson, Justine S is an individual health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stephenson, Justine S can be contacted via phone (801) 625-3700.Contact Information
Primary practice address
237 26Th St
Ogden UT 84401-3105
Phone: (801) 625-3700
Fax: (801) 778-6871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 367850-6004 | Utah |
Profile Details
| NPI number | 1568582971 |
|---|---|
| LBN Legal business name | Stephenson, Justine S |
| Credentials | LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1568582971 | NPPES |
| Utah | MEDICAID | 876000308007 |
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