Provider Demographics
NPI:1467991794
Name:STEPHANIE TRIANA, PH.D.
Entity Type:Organization
Organization Name:STEPHANIE TRIANA, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIANA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-663-9800
Mailing Address - Street 1:21015 LA PENA DR
Mailing Address - Street 2:106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2935
Mailing Address - Country:US
Mailing Address - Phone:210-663-9800
Mailing Address - Fax:
Practice Address - Street 1:1846 LOCKHILL SELMA RD
Practice Address - Street 2:106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1570
Practice Address - Country:US
Practice Address - Phone:210-663-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36505103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty