Traversie, Stephanie M

Traversie, Stephanie M is an individual health care provider with primary practice located at 123 19Th St Ne , Watertown SD 57201-2823. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Traversie, Stephanie M can be contacted via phone (605) 886-0123.

Contact Information

Primary practice address
123 19Th St Ne Watertown SD 57201-2823
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1326473455
LBN Legal business name Traversie, Stephanie M
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2013
Last updated Mar 4th, 2016 - about 9 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 1326473455 NPPES
South Dakota MEDICAID 5200010

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