Haverstock, Stephanie Ann
Haverstock, Stephanie Ann is an individual health care provider with primary practice located at 62 W Washington St , Joliet IL 60432-4331. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Haverstock, Stephanie Ann can be contacted via phone (815) 722-4384.Contact Information
Primary practice address
62 W Washington St
Joliet IL 60432-4331
Phone: (815) 722-4384
Fax: (815) 722-4390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1710010293 |
|---|---|
| LBN Legal business name | Haverstock, Stephanie Ann |
| Credentials | MA, LPC, NBCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710010293 | NPPES |
| Illinois | MEDICAID | 5141 |
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