Provider Demographics
NPI:1306179718
Name:STENGER, MARSHA KAY (MED)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:KAY
Last Name:STENGER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:K
Other - Last Name:STENGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:9150 HUEBNER RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1558
Mailing Address - Country:US
Mailing Address - Phone:210-877-9046
Mailing Address - Fax:210-877-9052
Practice Address - Street 1:9150 HUEBNER
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1556
Practice Address - Country:US
Practice Address - Phone:210-877-9046
Practice Address - Fax:210-877-9052
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63654101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX211147801Medicaid