Provider Demographics
NPI:1598702029
Name:PAPALEO, STEPHEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:PAPALEO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 GUAVA LN
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-8328
Mailing Address - Country:US
Mailing Address - Phone:619-892-3595
Mailing Address - Fax:800-334-1041
Practice Address - Street 1:1704 GUAVA LN
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-8328
Practice Address - Country:US
Practice Address - Phone:619-892-3595
Practice Address - Fax:800-334-1041
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7515103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY7515Medicare UPIN
CACP7515BMedicare ID - Type Unspecified