Provider Demographics
NPI:1275732869
Name:BREWER, STEPHEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:BREWER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 CAMINO DEL RIO S STE 145
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3762
Mailing Address - Country:US
Mailing Address - Phone:619-377-3120
Mailing Address - Fax:619-377-3120
Practice Address - Street 1:2535 CAMINO DEL RIO S STE 145
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3762
Practice Address - Country:US
Practice Address - Phone:619-377-3120
Practice Address - Fax:619-377-3120
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26277103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist