Stephan Paul Ouellette in Rancho Mirage - Clinical
Stephan Paul Ouellette - NPI 1295800936
Stephan Paul Ouellette is a Clinical in Rancho Mirage, California. Stephan Paul Ouellette practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephan Paul Ouellette is 1295800936. The last update date is 2022-06-30.
Stephan Paul Ouellette's current location address is 39000 Bob Hope Dr, Rancho Mirage, California. You can contact this provider via phone number 7608378767 and fax number 7608378806. The mailing address for Stephan Paul Ouellette is 39000 Bob Hope Dr, Rancho Mirage, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephan Paul Ouellette |
|---|---|
| Address | 39000 Bob Hope Dr, Rancho Mirage, California |
| Phone Number | 7608378767 |
| Fax Number | 7608378806 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1295800936 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2022-06-30 |
Provider Mailing Address Detail
| Address | 39000 Bob Hope Dr |
|---|---|
| City | Rancho Mirage |
| State | California (CA) |
| Post Code | 922703221 |
| Phone Number | 7608378767 |
| Fax Number | 7608378806 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 19763 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique provider identifier assigned to Stephan Paul Ouellette?
The Stephan Paul Ouellette has been issued the NPI (National Provider Identifier) 1295800936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Stephan Paul Ouellette is physically located?
The Stephan Paul Ouellette is situated at the following address: 39000 Bob Hope Dr, Rancho Mirage, CA 922703221.
What is the Stephan Paul Ouellette's specialty and taxonomy code?
The Stephan Paul Ouellette's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Stephan Paul Ouellette receive its 1295800936?
The Stephan Paul Ouellette was issued its 1295800936 on 2006-11-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Stephan Paul Ouellette's details last updated?
The information pertaining to the Stephan Paul Ouellette, including its address, specialty, and other details, was most recently updated on 2022-06-30.