Doctor Name: | DR. ALICJA STEWART |
NPI Number: | 1063808558 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 4605 |
Business Practice Address: | 14780 W. Mountain View Blvd. Suite 110 Surprise, AZ - 853747280 |
Business Phone Number: | 6233747774 |
Business Fax Number: | |
Mailing Address: | 14780 W. Mountain View Blvd., Suite 110 SURPRISE |
State: | AZ |
Postal Code: | 853747280 |
Phone Number: | 9289193839 |
Fax Number: | 6023912788 |
NPI Enumeration Date: | 04/10/2015 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 4605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |