Stan, Joanna Catherine

Stan, Joanna Catherine is an individual health care provider with primary practice located at 18646 Oxnard St , Tarzana CA 91356-1411. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Stan, Joanna Catherine can be contacted via phone (818) 996-1051.

Contact Information

Primary practice address
18646 Oxnard St Tarzana CA 91356-1411
Phone: (818) 996-1051
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY30834 California

Profile Details

NPI number 1952685828
LBN Legal business name Stan, Joanna Catherine
Credentials PSY.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2011
Last updated Apr 2nd, 2020 - about 4 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 1952685828 NPPES
California MEDICAID 1952685828

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