Provider Demographics
NPI:1063442978
Name:STEMBRIDGE, DONALD AUSTIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:AUSTIN
Last Name:STEMBRIDGE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 GRAY AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3208
Mailing Address - Country:US
Mailing Address - Phone:530-673-1340
Mailing Address - Fax:530-673-1955
Practice Address - Street 1:1141 GRAY AVE
Practice Address - Street 2:SUITE C
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3208
Practice Address - Country:US
Practice Address - Phone:530-673-1340
Practice Address - Fax:530-673-1955
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY4259103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical