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NPI Code Detail

MEDICARE: DIANNE M STEGBAUER MA

MEDICARE:   DIANNE M STEGBAUER  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH00006770WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LH00006770OTHERWAWASHINGTON STATE LICENSURE
20007911917OTHERWAAETNA PROVIDER

General Provider Information

NPI Number : 1083835383
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNE M STEGBAUER MA
Provider Business Mailing Address
First Line : 9735 WALLINGFORD AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-3525
Country : US
Telephone Number : 206-478-9749
Fax Number :
Provider Business Practice Location Address
First Line : 9735 WALLINGFORD AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-3525
Country : US
Telephone Number : 206-478-9749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 02/12/2026

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Directions to “ DIANNE M STEGBAUER MA” Practice Location

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