Lockhart-Pettaway, Stefanie
Lockhart-Pettaway, Stefanie is an sole proprietor health care provider with primary practice located at 9113 Foothill Blvd Ste 130 , Rancho Cucamonga CA 91730-6565. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Lockhart-Pettaway, Stefanie can be contacted via phone (909) 652-0361.Contact Information
Primary practice address
9113 Foothill Blvd Ste 130
Rancho Cucamonga CA 91730-6565
Phone: (909) 652-0361
Fax: (909) 652-0241
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 24837 | California |
Profile Details
NPI number | 1497934871 |
---|---|
LBN Legal business name | Lockhart-Pettaway, Stefanie |
Credentials | PSY.D, MSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 1st, 2007 |
Last updated | Jan 14th, 2019 - about 5 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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