SUSAN STIVERS


Address: 22431 Antonio Parkway, Suite B160-694, Rancho Santa Margarita, CA 92688
Phone: 9497421476

SUSAN STIVERS (NPI# 1336468370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336468370
Entity Type Individual
Full Name SUSAN STIVERS
Practice Address 22431 Antonio Parkway
Suite B160-694
Rancho Santa Margarita
CA 92688
Practice Telephone 9497421476
Enumeration Date 2010-05-28
Last Update Date 2010-05-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PSY D16953 CA Behavioral Health & Social Service Providers

Office Location

Street Address 22431 ANTONIO PARKWAY
SUITE B160-694
City RANCHO SANTA MARGARITA
State CA
Zip Code 92688

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City RANCHO SANTA MARGARITA
Zip Code 92688

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Dataset Information

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.

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