Provider Demographics
NPI:1235582511
Name:STOOPS, NANCY JILL (MFT)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:JILL
Last Name:STOOPS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21308 PATHFINDER RD
Mailing Address - Street 2:SUITE #216
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765
Mailing Address - Country:US
Mailing Address - Phone:909-229-0737
Mailing Address - Fax:909-595-5536
Practice Address - Street 1:21308 PATHFINDER RD
Practice Address - Street 2:SUITE #216
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765
Practice Address - Country:US
Practice Address - Phone:909-229-0737
Practice Address - Fax:909-595-5536
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist