Doctor Name: | MRS. DEBORAH STEDNICK |
NPI Number: | 1396123154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PC008139 |
Business Practice Address: | 333 N Oxford Valley Rd Suite 202 Fairless Hills, PA - 190302624 |
Business Phone Number: | 2155475774 |
Business Fax Number: | 2155470768 |
Mailing Address: | 609 Iva Ln, FAIRLESS HILLS |
State: | PA |
Postal Code: | 190303805 |
Phone Number: | 2159431840 |
Fax Number: | 2159431840 |
NPI Enumeration Date: | 05/13/2015 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC008139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |