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NPI Code Detail

MEDICARE: MR. STEPHEN JAMES PRATT MA, MFT

MEDICARE:  MR. STEPHEN JAMES PRATT  MA, MFT
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
1106H00000XMarriage & Family TherapistMFC 31264CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MFC 31264OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1245228337
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN JAMES PRATT MA, MFT
Provider Business Mailing Address
First Line : 23120 ALICIA PKWY
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92692-1212
Country : US
Telephone Number : 949-454-8861
Fax Number : 949-454-8869
Provider Business Practice Location Address
First Line : 23120 ALICIA PKWY
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92692-1210
Country : US
Telephone Number : 949-454-8861
Fax Number : 949-454-8869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/08/2007

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Directions to “ MR. STEPHEN JAMES PRATT MA, MFT” Practice Location

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