Doctor Name: | DR. STEPHEN JOSEPH CLAVERE |
NPI Number: | 1801136254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY9022 |
Business Practice Address: | 300 Prison Rd Represa, CA - 956713001 |
Business Phone Number: | 9169852561 |
Business Fax Number: | |
Mailing Address: | 300 Prison Rd, REPRESA |
State: | CA |
Postal Code: | 956713001 |
Phone Number: | 9169852561 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2013 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PSY9022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |