Healthcare Provider Details

I. General information

NPI: 1356808893
Provider Name (Legal Business Name): STEPHANIE PIRING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7806 UPLANDS WAY
CITRUS HEIGHTS CA
95610-7567
US

IV. Provider business mailing address

5098 FOOTHILLS BLVD STE 3 #114
ROSEVILLE CA
95747-4534
US

V. Phone/Fax

Practice location:
  • Phone: 916-967-6253
  • Fax:
Mailing address:
  • Phone: 916-701-3009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162930
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: