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NPI Code Detail

MEDICARE: DR. STEPHANIE PELAYO PSY.D.

MEDICARE: DR. STEPHANIE PELAYO PSY.D.
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
1103TC0700XClinical PsychologistPSY 19697CA

General Provider Information

NPI Number : 1336309194
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE PELAYO PSY.D.
Provider Business Mailing Address
First Line : 14772 PIPELINE AVE STE D
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-6027
Country : US
Telephone Number : 909-313-9098
Fax Number : 909-929-2301
Provider Business Practice Location Address
First Line : 14772 PIPELINE AVE STE D
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-6027
Country : US
Telephone Number : 909-313-9098
Fax Number : 909-929-2301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 01/13/2026

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