Doctor Name: | MRS. STEPHANIE L MORGAN |
NPI Number: | 1043474984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 400005AN |
Business Practice Address: | 285 South St Ste M San Luis Obispo, CA - 934015037 |
Business Phone Number: | 8055442892 |
Business Fax Number: | 8055442887 |
Mailing Address: | 285 South St Ste M, SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934015037 |
Phone Number: | 8055442892 |
Fax Number: | 8055442887 |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 400005AN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |