Doctor Name: | DONNA L. STEPHEN |
NPI Number: | 1306142179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 162 Grove St Ste J Bishop, CA - 935142652 |
Business Phone Number: | 7608736533 |
Business Fax Number: | 7608733277 |
Mailing Address: | 162 Grove St Ste J, BISHOP |
State: | CA |
Postal Code: | 935142652 |
Phone Number: | 7608736533 |
Fax Number: | 7608733277 |
NPI Enumeration Date: | 01/26/2011 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |