Stefanov, Michael
Stefanov, Michael is an sole proprietor health care provider with primary practice located at 302 9Th St , Honesdale PA 18431-2090. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stefanov, Michael can be contacted via phone (570) 253-6453.Contact Information
Primary practice address
302 9Th St
Honesdale PA 18431-2090
Phone: (570) 253-6453
Fax: (570) 253-5856
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PS016606 | Pennsylvania |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PS016606 | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PS016606 | Pennsylvania |
Behavioral Health & Social Service Providers / Family | 103TF0000X | PS016606 | Pennsylvania |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PS016606 | Pennsylvania |
Behavioral Health & Social Service Providers / Health | 103TH0004X | PS016606 | Pennsylvania |
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | PS016606 | Pennsylvania |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PS016606 | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS016606 | Pennsylvania |
Profile Details
NPI number | 1912104803 |
---|---|
LBN Legal business name | Stefanov, Michael |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2007 |
Last updated | Feb 27th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912104803 | NPPES |
Pennsylvania | MEDICAID | PS016606 |
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