Provider Demographics
NPI:1013179019
Name:HAIG, STEPHEN
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:HAIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26982 PEBBLE RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91381-0628
Mailing Address - Country:US
Mailing Address - Phone:661-877-6025
Mailing Address - Fax:661-254-0336
Practice Address - Street 1:26982 PEBBLE RIDGE PL
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91381-0628
Practice Address - Country:US
Practice Address - Phone:661-877-6025
Practice Address - Fax:661-254-0336
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45611106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist