Provider Demographics
NPI:1417011743
Name:STEPPING STONES OF NEWTON, PA
Entity Type:Organization
Organization Name:STEPPING STONES OF NEWTON, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-244-1496
Mailing Address - Street 1:20 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-3200
Mailing Address - Country:US
Mailing Address - Phone:828-244-1496
Mailing Address - Fax:
Practice Address - Street 1:20 E 1ST ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-3200
Practice Address - Country:US
Practice Address - Phone:828-244-1496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3271103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty