Provider Demographics
NPI:1336317668
Name:TURNER, STEPHANY (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:STEPHANY
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:DR
Other - First Name:STEPHANY
Other - Middle Name:
Other - Last Name:LUK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYCHOLOGIST
Mailing Address - Street 1:PO BOX C
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91031-0090
Mailing Address - Country:US
Mailing Address - Phone:424-999-8884
Mailing Address - Fax:
Practice Address - Street 1:1964 WESTWOOD BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4651
Practice Address - Country:US
Practice Address - Phone:424-999-8884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27127103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist