Vidrine, Stephanie
Vidrine, Stephanie is an sole proprietor health care provider with primary practice located at 3613 Williams Dr Ste 1005 , Georgetown TX 78628-1376. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vidrine, Stephanie can be contacted via phone (737) 279-4700.Contact Information
Primary practice address
3613 Williams Dr Ste 1005
Georgetown TX 78628-1376
Phone: (737) 279-4700
Fax: (737) 279-4500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 37951 | Texas |
Profile Details
NPI number | 1255782918 |
---|---|
LBN Legal business name | Vidrine, Stephanie |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 23rd, 2016 |
Last updated | Nov 23rd, 2021 - about 3 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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