Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103TC1900X | Counseling Psychologist |
NPI | 1245552777 |
---|---|
Provider Name | Dr. Rebecca Valerie Stein |
First Address | San Antonio, TX 78229-5803 |
Second Address | Fort Hood, TX 76544-5095 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2010 |
Last Update Date | 25/02/2010 |