Healthcare Provider Details
I. General information
NPI: 1982923918
Provider Name (Legal Business Name): STEPHEN PATRICK BRATTON PH. D
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/01/2010
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7357 LAKELAND DR
CLEARLAKE CA
95422-8153
US
IV. Provider business mailing address
7357 LAKELAND DR
CLEARLAKE CA
95422-8153
US
V. Phone/Fax
- Phone: 415-323-0085
- Fax:
- Phone: 415-323-0085
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY 20537 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: