Komori Stager, Marc D.

Komori Stager, Marc D. is an sole proprietor health care provider with primary practice located at 1600 S Main St Suite 225, Walnut Creek CA 94596-5340. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Komori Stager, Marc D. can be contacted via phone (925) 325-5022.

Contact Information

Primary practice address
1600 S Main St Suite 225 Walnut Creek CA 94596-5340
Phone: (925) 325-5022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 21734 California
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1962578559
LBN Legal business name Komori Stager, Marc D.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Sep 27th, 2011 - about 14 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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