Provider Demographics
NPI:1669740387
Name:ESPINOSA, STEPHANIE HERNANDEZ
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:HERNANDEZ
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:EILEEN
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5401 BUSINESS PARK S STE 208
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1661
Mailing Address - Country:US
Mailing Address - Phone:661-331-5020
Mailing Address - Fax:
Practice Address - Street 1:5401 BUSINESS PARK S STE 208
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1661
Practice Address - Country:US
Practice Address - Phone:661-699-6697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical