Provider Demographics
NPI:1427572700
Name:ALDEN, STEVEN BENJAMIN (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:BENJAMIN
Last Name:ALDEN
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12835 POINTE DEL MAR WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3846
Mailing Address - Country:US
Mailing Address - Phone:858-259-0599
Mailing Address - Fax:858-794-7218
Practice Address - Street 1:12835 POINTE DEL MAR WAY STE 1
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3846
Practice Address - Country:US
Practice Address - Phone:858-259-0599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007038363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health