Organization Name: | DR. STEVEN P. DINGFELDER & ASSOC., INC. |
NPI Number: | 1609886696 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN P DINGFELDER (OWNER/LICENSED PSYCHOLOGIST) |
Mailing Address: | 9 St. Johns Medical Park Dr Suite A St. Augustine |
State: | FL US |
Postal Code: | 32086 |
Phone Number: | 9047972705 |
Fax Number: | 9047972820 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY3269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |