Provider Demographics
NPI:1356697346
Name:MARIA-CHRISTINA STEWART, PH.D. PSYCHOLOGIST, INC.
Entity type:Organization
Organization Name:MARIA-CHRISTINA STEWART, PH.D. PSYCHOLOGIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO&LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA-CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-787-2305
Mailing Address - Street 1:3030 ASHBY AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2453
Mailing Address - Country:US
Mailing Address - Phone:415-787-2305
Mailing Address - Fax:
Practice Address - Street 1:3030 ASHBY AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2453
Practice Address - Country:US
Practice Address - Phone:415-787-2305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty