1184057572 NPI number — MS. DEBIRUTH STANFORD LMHC, MA

Table of content: MS. DEBIRUTH STANFORD LMHC, MA (NPI 1184057572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184057572 NPI number — MS. DEBIRUTH STANFORD LMHC, MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STANFORD
Provider First Name:
DEBIRUTH
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC, MA
Provider Gender Code:
F

Provider's Other Name Information

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

NPI Number Information

NPI Number:
1184057572
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/18/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 LAKE BELLEVUE DR STE 214
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLEVUE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98005-2454
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-329-8249
Provider Business Mailing Address Fax Number:
425-699-0468

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16802 NE 30TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98008-2129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-785-8354
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/21/2013

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: 101YM0800X , with the licence number:  LH60174962 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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