MEDICARE: DR. STEPHANIE NEUMANN BESE PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TF0200X	Forensic Psychologist	PSY21550	CA
2	103TC0700X	Clinical Psychologist	PSY21550	CA

General Provider Information

NPI Number	:	1922255942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE NEUMANN BESE PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 1501
Second Line	:
City	:	CHOWCHILLA
State	:	CA
Zip	:	93610-1501
Country	:	US
Telephone Number	:	559-665-5531
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 E SHAW AVE STE 150
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-7915
Country	:	US
Telephone Number	:	559-718-1910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2008
Last Update Date	:	09/18/2024

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