Waltz, Stephen Carl

Waltz, Stephen Carl is an sole proprietor health care provider with primary practice located at 1621 Metropolitan Blvd Ste D , Tallahassee FL 32308-3792. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Waltz, Stephen Carl can be contacted via phone (850) 386-9313.

Contact Information

Primary practice address
1621 Metropolitan Blvd Ste D Tallahassee FL 32308-3792
Phone: (850) 386-9313
Fax: (850) 422-2469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MT1469 Florida

Profile Details

NPI number 1053459669
LBN Legal business name Waltz, Stephen Carl
Credentials M.S.., L.M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1053459669 NPPES
Florida Other Z130G BLUE CROSS BLUE SHIELD

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