Stephenson, John T

Stephenson, John T is an sole proprietor health care provider with primary practice located at 24520 Hawthorne Blvd Suite 220, Torrance CA 90505-6800. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Stephenson, John T can be contacted via phone (310) 428-6708.

Contact Information

Primary practice address
24520 Hawthorne Blvd Suite 220 Torrance CA 90505-6800
Phone: (310) 428-6708
Fax: (310) 375-5262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY16157 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16157 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PSY16157 California

Profile Details

NPI number 1366509929
LBN Legal business name Stephenson, John T
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jun 11th, 2013 - about 12 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 1366509929 NPPES
California MEDICAID PSY161571

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