Provider Demographics
NPI:1467769430
Name:HOSOI, STEFANIE A (PHD)
Entity Type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:A
Last Name:HOSOI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W DRAKE RD
Mailing Address - Street 2:SUITE 143
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6320
Mailing Address - Country:US
Mailing Address - Phone:970-223-1984
Mailing Address - Fax:
Practice Address - Street 1:333 W DRAKE RD
Practice Address - Street 2:SUITE 143
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6320
Practice Address - Country:US
Practice Address - Phone:970-223-1984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist