=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376809921
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANET MILLER STIER PH.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2012
-----------------------------------------------------
Last Update Date | 03/26/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21545 CENTRE POINTE PKWY
-----------------------------------------------------
City | SANTA CLARITA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91350-2947
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-259-9439
-----------------------------------------------------
Fax | 661-259-9658
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21545 CENTRE POINTE PKWY
-----------------------------------------------------
City | SANTA CLARITA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91350-2947
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-259-9439
-----------------------------------------------------
Fax | 661-259-9658
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | PSY26204
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------