Provider Demographics
NPI:1912438433
Name:DBH GROUP INC
Entity Type:Organization
Organization Name:DBH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:727-674-3593
Mailing Address - Street 1:500 W HARBOR DR
Mailing Address - Street 2:UNIT 305
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-7715
Mailing Address - Country:US
Mailing Address - Phone:727-674-3593
Mailing Address - Fax:619-858-2383
Practice Address - Street 1:1350 COLUMBIA ST
Practice Address - Street 2:800
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-3454
Practice Address - Country:US
Practice Address - Phone:727-674-3593
Practice Address - Fax:619-858-2383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-26
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24265103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty