Provider Demographics
NPI:1568995876
Name:BRICHTA, STEFANIE HANDRICK (MD)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:HANDRICK
Last Name:BRICHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:STEFANIE
Other - Middle Name:LYNN
Other - Last Name:HANDRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:570 W BROWN RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-3227
Mailing Address - Country:US
Mailing Address - Phone:480-344-2100
Mailing Address - Fax:
Practice Address - Street 1:3141 N 3RD AVE STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4351
Practice Address - Country:US
Practice Address - Phone:602-512-3055
Practice Address - Fax:602-266-8290
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-04
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ617552084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry