Stefanie Lockhart-Pettaw in Rancho Cucamonga - Psychologist
Stefanie Lockhart-Pettaw - NPI 1497934871
Stefanie Lockhart-Pettaw is a Psychologist in Rancho Cucamonga, California. Stefanie Lockhart-Pettaw practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stefanie Lockhart-Pettaw is 1497934871. The last update date is 2019-01-14.
Stefanie Lockhart-Pettaw's current location address is 9113 Foothill Blvd Ste 130, Rancho Cucamonga, California. You can contact this provider via phone number 9096520361 and fax number 9096520241. The mailing address for Stefanie Lockhart-Pettaw is 9113 Foothill Blvd Ste 130, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stefanie Lockhart-Pettaw |
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Address | 9113 Foothill Blvd Ste 130, Rancho Cucamonga, California |
Phone Number | 9096520361 |
Fax Number | 9096520241 |
Sole Proprietor | Y |
Credentials | PSY.D, MSW |
NPI Number Detail
NPI Number | 1497934871 |
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Provider Enumeration Date | 2007-11-01 |
Last Updated Date | 2019-01-14 |
Provider Mailing Address Detail
Address | 9113 Foothill Blvd Ste 130 |
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City | Rancho Cucamonga |
State | California (CA) |
Post Code | 917306565 |
Phone Number | 9096520361 |
Fax Number | 9096520241 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | PSY 24837 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code issued to Stefanie Lockhart-Pettaw by the Centers for Medicare & Medicaid Services?
The Stefanie Lockhart-Pettaw has been assigned the NPI (National Provider Identifier) 1497934871 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Stefanie Lockhart-Pettaw is physically located?
The Stefanie Lockhart-Pettaw is physically situated at the following address: 9113 Foothill Blvd Ste 130, Rancho Cucamonga, CA, 917306565.
What is Stefanie Lockhart-Pettaw's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stefanie Lockhart-Pettaw is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
When did Stefanie Lockhart-Pettaw receive its 1497934871 assignment?
The Stefanie Lockhart-Pettaw was assigned its 1497934871 on 2007-11-01, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Stefanie Lockhart-Pettaw most recently updated or revised?
The details related to Stefanie Lockhart-Pettaw, including its address, specialty, and other relevant information, were last updated or revised on 2019-01-14.
NPI Number: 1336142389
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