Teresa Stevenson, PH.D.
Individual provider Active NPI Clinical Psychologist · Ione, CA
NPI 1629414735 · NPPES record last updated Jul 5, 2013
Key facts
- NPI
- 1629414735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY13847 (CA)
- Practice address
- 4001 California Highway 104
Ione, CA 95640 - Phone
- (209) 274-4911
- NPI assigned
- May 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY13847 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY13847 | CA | Yes |
Addresses
Primary practice location
4001 California Highway 104
Ione, CA 95640
Mailing address
9102 Generations Dr
Elk Grove, CA 95758-1202
Phone (310) 903-9620
Other providers in Ione, CA
- Christopher Smith
- Deborah Jo Smith
- Wendy Sober
- Jalal Soltanian-Zadeh
- Shaun Stanley
- Carolyn Ann Stremfel
- Julianne Caitlin Sulenta
- Carol Sundell
- Shevalier Swanson
- Kristina Towner
All providers in Ione, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.