Healthcare Provider Details

I. General information

NPI: 1144641515
Provider Name (Legal Business Name): TERESA STEBNER LPCMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2014
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 CHAPMAN RD 205 C COMMONWEALTH BUILDING UNIVERSITY OFFICE PLAZA
NEWARK DE
19702-5490
US

IV. Provider business mailing address

260 CHAPMAN RD 205 C COMMONWEALTH BUILDING UNIVERSITY OFFICE PLAZA
NEWARK DE
19702-5490
US

V. Phone/Fax

Practice location:
  • Phone: 302-533-7532
  • Fax: 302-533-7584
Mailing address:
  • Phone: 302-533-7532
  • Fax: 302-533-7584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000772
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: