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Kory Stotesbery Do, Inc.
Adolescent and Children Mental Health Clinic/Center in Walnut Creek, California
NPI 1295193670

Kory Stotesbery Do, Inc. is an Adolescent and Children Mental Health Clinic/Center based in Walnut Creek, CA and is specialized in Adolescent and Children Mental Health. Kory Stotesbery Do, Inc. practices in Walnut Creek, CA. The NPI Number for Kory Stotesbery Do, Inc. is 1295193670 and holds a License No. 20A12798 (California).

The current practice location address for Kory Stotesbery Do, Inc. is 1501 N Broadway, Walnut Creek, CA and can be reached out via phone at 925-322-0418.

Location: 1501 N Broadway, Walnut Creek, CA, 94596-4296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295193670
Provider Name
Kory Stotesbery Do, Inc.
Credential
Provider Entity Type
Organization
Address
1501 N Broadway, Walnut Creek, CA, 94596-4296
Phone Number
925-322-0418
Fax Number
Provider Enumeration Date
02/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 N Broadway
City
Walnut Creek
State
California
Zip
94596-4296
Phone Number
925-322-0418
Fax Number
person
Provider Business Mailing Address Details
Address
1501 N Broadway
City
Walnut Creek
State
California
Zip
94596-4296
Phone Number
925-322-0418
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
20A12798 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
20A12798 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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