Healthcare Provider Details

I. General information

NPI: 1699781153
Provider Name (Legal Business Name): BILL STEH PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 02/28/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DAVID GRANT MEDICAL CENTER 101 BODIN CIRCLE, 4-EAST UNIT
TRAVIS AFB CA
94535
US

IV. Provider business mailing address

DAVID GRANT MEDICAL CENTER 101 BODIN CIRCLE, 4-EAST UNIT
TRAVIS AFB CA
94535
US

V. Phone/Fax

Practice location:
  • Phone: 707-423-3275
  • Fax:
Mailing address:
  • Phone: 707-423-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY18547
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: