STEPHANIE VIDRINE (NPI# 1255782918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255782918 |
| Entity Type | Individual |
| Full Name | STEPHANIE VIDRINE |
| Practice Address |
4749 Williams Dr Ste 301 Georgetown TX 78633 |
| Mailing Address |
5524 Bee Caves Rd Ste K4 West Lake Hills TX 78746-5247 |
| Practice Telephone | 5124004069 |
| Practice Fax Number | 5127176337 |
| Mailing Telephone | 5126493050 |
| Mailing Fax Number | 5127176337 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
37951 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1901 Sw H K Dodgen Loop, Temple, TX 765021814 | 2547245437 |
| Street Address |
4749 WILLIAMS DR STE 301 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104161181 | Linda Mikesic | Social Worker | 4749 Williams Dr Ste 301, Georgetown, TX 78633-3711 | 2012-12-03 |
| 1558911578 | Tracy Morris | Social Worker | 4749 Williams Dr Ste 301, Georgetown, TX 78633-3711 | 2019-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098937 | Medsur One Telemedicine LLC | Nurse Practitioner | 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 | 2020-03-18 |
| 1467946384 | Majestic Healthcare, Pllc | Nurse Practitioner | 110 Eisenhower Ct, Georgetown, TX 78633 | 2018-06-15 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1104834258 | Mobile Cr Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4749 Williams Dr, Georgetown, TX 78633 | 2006-08-04 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| Find all providers in zip 78633 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316259773 | North Shore Psychodiagnostics | Psychologist | One East Main Street, Georgetown, MA 01833 | 2010-07-13 |
| 1225351794 | Georgetown Psychotherapy, Pllc | Psychologist | 4749 Williams Dr Ste 336, Georgetown, TX 78633-3711 | 2010-03-11 |
| 1770790479 | Lillian P. Orr | Psychologist | 151 Young Ranch Rd, Georgetown, TX 78633-4313 | 2007-05-16 |
| 1114043510 | Pamela Horton, Ph.d., P.C. | Psychologist | 1618 Williams Dr Ste 6, Georgetown, TX 78628-3660 | 2007-03-21 |
| 1215075866 | Melora Jean Jacober | Psychologist | 4500 Williams Dr, Ste 212-182, Georgetown, TX 78633-1332 | 2007-02-02 |
| 1497866057 | Swapnila S Das | Psychologist | 608 Garner Park Dr, Georgetown, TX 78628 | 2006-08-31 |
| 1245250141 | Richard Frank Zapf | Psychologist | 1 East Main St, Georgetown, MA 01833-2034 | 2006-07-20 |
| 1316984792 | Virginia Ellen Livesay | Psychologist | 903 Forest St, Georgetown, TX 78626 | 2006-06-02 |
| 1811967581 | Pamela Horton | Psychologist | 1618 Williams Dr, Suite 6, Georgetown, TX 78628-3660 | 2006-01-25 |
| 1255871232 | Marie Worsham | Psychologist | 1001 E University Ave, Protho Ctr., Ste 200, Georgetown, TX 78626-6100 | 2017-02-24 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
Please comment or provide details below to improve the information on STEPHANIE VIDRINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.