Healthcare Provider Details
I. General information
NPI: 1942619887
Provider Name (Legal Business Name): JOHN FRANCIS STAMPFLI PHD, PSYAD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/05/2014
Last Update Date: 11/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
306 DOUGLAS ST
BAKERSFIELD CA
93308-2419
US
IV. Provider business mailing address
306 DOUGLAS ST
BAKERSFIELD CA
93308-2419
US
V. Phone/Fax
- Phone: 424-333-1012
- Fax:
- Phone: 424-333-1012
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 102L00000X |
| Taxonomy | Psychoanalyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: