Doctor Name: | SANDRA STEMPLE |
NPI Number: | 1043504970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LCSW |
License Number: | 25733 |
Business Practice Address: | 11344 Coloma Rd Suite 605 Gold River, CA - 956704457 |
Business Phone Number: | 9162064193 |
Business Fax Number: | |
Mailing Address: | 11344 Coloma Rd, Suite 605 GOLD RIVER |
State: | CA |
Postal Code: | 956704457 |
Phone Number: | 9162064193 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2011 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 25733 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |