MEDICARE: STEPHANY TURNER PSYCHOLOGIST

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
1	103T00000X	Psychologist	PSY27127	CA

General Provider Information

NPI Number	:	1336317668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANY TURNER PSYCHOLOGIST

Provider Business Mailing Address
First Line	:	PO BOX C
Second Line	:
City	:	SOUTH PASADENA
State	:	CA
Zip	:	91031-0090
Country	:	US
Telephone Number	:	424-999-8884
Fax Number	:

Provider Business Practice Location Address
First Line	:	1964 WESTWOOD BLVD
Second Line	:	SUITE 310
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4651
Country	:	US
Telephone Number	:	424-999-8884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/06/2017

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