Provider Demographics
NPI:1255602272
Name:ZEPEDA, STEPHANIE (PHD, LMFT-S)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:ZEPEDA
Suffix:
Gender:F
Credentials:PHD, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 BRAEBURN DR
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4717
Mailing Address - Country:US
Mailing Address - Phone:713-291-9553
Mailing Address - Fax:
Practice Address - Street 1:10521 WILLOWGROVE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-3511
Practice Address - Country:US
Practice Address - Phone:713-291-9553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201617106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist