Okiyama, Stephen Lon

Okiyama, Stephen Lon is an sole proprietor health care provider with primary practice located at 305 Knobcone Dr Unit 202 , Loveland CO 80538-5711. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Okiyama, Stephen Lon can be contacted via phone (310) 954-7492.

Contact Information

Primary practice address
305 Knobcone Dr Unit 202 Loveland CO 80538-5711
Phone: (310) 954-7492
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY12716 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY12716 California

Profile Details

NPI number 1124162557
LBN Legal business name Okiyama, Stephen Lon
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2007
Last updated Nov 5th, 2012 - about 13 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 1124162557 NPPES
California MEDICAID PSY127160
California Other 74310

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