Phelps, Stephen Walter
Phelps, Stephen Walter is an individual health care provider with primary practice located at 2280 Western Ave , Guilderland NY 12084. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Phelps, Stephen Walter can be contacted via phone (518) 456-5056.Contact Information
Primary practice address
2280 Western Ave
Guilderland NY 12084
Phone: (518) 456-5056
Fax: (518) 456-6512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 010375-1 | New York |
Profile Details
| NPI number | 1851488357 |
|---|---|
| LBN Legal business name | Phelps, Stephen Walter |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 10th, 2007 - about 17 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 | 1851488357 | NPPES |
| New York | MEDICAID | 01700054 |
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