Doctor Name: | DR. JUSTIN STEFFENER |
NPI Number: | 1013218767 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | MC60197538 |
Business Practice Address: | 33305 1st Way S B203 Federal Way, WA - 980036235 |
Business Phone Number: | 2532355956 |
Business Fax Number: | 2532355957 |
Mailing Address: | 33305 1st Way S, B203 FEDERAL WAY |
State: | WA |
Postal Code: | 980036235 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/11/2010 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MC60197538 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |