Doctor Name: | MS. STEPHANIE MARIE DELEON |
NPI Number: | 1265602262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 17017 |
Business Practice Address: | 102 Amistad Blvd Universal City, TX - 781483114 |
Business Phone Number: | 2106580510 |
Business Fax Number: | 2106580510 |
Mailing Address: | 102 Amistad Blvd, UNIVERSAL CITY |
State: | TX |
Postal Code: | 781483114 |
Phone Number: | 2106580510 |
Fax Number: | 2106580510 |
NPI Enumeration Date: | 03/05/2008 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 17017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |