Stewart, Andrew Michael

Stewart, Andrew Michael is an sole proprietor health care provider with primary practice located at 1460 7Th St Ste 206 , Santa Monica CA 90401-2631. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stewart, Andrew Michael can be contacted via phone (310) 702-7961.

Contact Information

Primary practice address
1460 7Th St Ste 206 Santa Monica CA 90401-2631
Phone: (310) 702-7961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15180 California

Profile Details

NPI number 1528118700
LBN Legal business name Stewart, Andrew Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 9th, 2007 - about 18 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 1528118700 NPPES
California MEDICAID 137878
California MEDICAID PSY151800

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