Fleisher, Stephan Jay

Fleisher, Stephan Jay is an individual health care provider with primary practice located at 16031 Chase St , North Hills CA 91343-6307. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fleisher, Stephan Jay can be contacted via phone (818) 893-1811.

Contact Information

Primary practice address
16031 Chase St North Hills CA 91343-6307
Phone: (818) 893-1811
Fax: (818) 895-1200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY5351 California

Profile Details

NPI number 1851377329
LBN Legal business name Fleisher, Stephan Jay
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851377329 NPPES
California MEDICAID 00PL53510

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