Provider Demographics
NPI:1255435624
Name:GETSINGER, STEPHEN HENRY (PHD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:HENRY
Last Name:GETSINGER
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 1:7319 MOSS BROOK DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255
Mailing Address - Country:US
Mailing Address - Phone:210-695-2731
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER BLVD
Practice Address - Street 2:AUDIC L MURPHY 116B US DEPT OF VETERANS AFFAIRS VA HOSP
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255
Practice Address - Country:US
Practice Address - Phone:210-699-2147
Practice Address - Fax:210-949-3301
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071002833103T00000X
TX21475103T00000X, 103TC0700X
WI1415057103T00000X
IL071.002833103TC0700X
WI1415-057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81039VOtherBLUE CROSS