Chin Mammen, Stephanie Ann
Chin Mammen, Stephanie Ann is an individual health care provider with primary practice located at 2400 E Katella Ave Suite 450, Anaheim CA 92806-5945. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chin Mammen, Stephanie Ann can be contacted via phone (657) 224-9681.Contact Information
Primary practice address
2400 E Katella Ave Suite 450
Anaheim CA 92806-5945
Phone: (657) 224-9681
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 26085 | California |
Profile Details
NPI number | 1184851974 |
---|---|
LBN Legal business name | Chin Mammen, Stephanie Ann |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2009 |
Last updated | Nov 29th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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