1902064256 NPI number — STEPHANIE SUZANNE LEHMAN MA, MFT

Table of content: STEPHANIE SUZANNE LEHMAN MA, MFT (NPI 1902064256)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902064256 NPI number — STEPHANIE SUZANNE LEHMAN MA, MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEHMAN
Provider First Name:
STEPHANIE
Provider Middle Name:
SUZANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEHMAN
Provider Other First Name:
SUZANNE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1902064256
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2209 MELFORD CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THOUSAND OAKS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91361-5058
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-789-6277
Provider Business Mailing Address Fax Number:
805-449-2185

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15233 VENTURA BLVD
Provider Second Line Business Practice Location Address:
SUITE 1217
Provider Business Practice Location Address City Name:
SHERMAN OAKS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91403-2201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-789-6277
Provider Business Practice Location Address Fax Number:
805-449-2185
Provider Enumeration Date:
05/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  38625 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com