Stephanie M Ernestus, PHD
Student in an Organized Health Care Education/Training Program in North Easton, Massachusetts
1962803122- Practice location
- 320 Washington St, North Easton, MA 02357-3247
- Phone
- 424-453-4573
- Fax
- 614-355-9589
- Last updated
- January 10, 2022
Stephanie M Ernestus is a Student in an Organized Health Care Education/Training Program based in North Easton, MA. Stephanie M Ernestus practices in North Easton, MA and has the professional credentials of PHD. The NPI Number for Stephanie M Ernestus is 1962803122 and holds a License No. 11613 (MA). The current practice location address for Stephanie M Ernestus is 320 Washington St, North Easton, MA 02357-3247 and can be reached out via phone at 424-453-4573 and via fax at 614-355-9589.
Provider Profile Details
- NPI Number
- 1962803122
- Provider Name
- Stephanie M Ernestus
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 320 Washington St, North Easton, MA 02357-3247
- Phone Number
- 424-453-4573
- Fax Number
- 614-355-9589
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 8, 2014
- Last Update Date
- January 10, 2022
- Certification Date
- January 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 320 Washington St
North Easton, MA 02357-3247 - City
- North Easton
- State
- Massachusetts
- Zip
- 02357-3247
- Phone Number
- 424-453-4573
- Fax Number
- 614-355-9589
Provider Business Mailing Address Details
- Address
- 124 Union Park St Apt 2
Boston, MA 02118-2498 - City
- Boston
- State
- MA
- Zip
- 02118-2498
- Phone Number
- 424-543-4573
License Information
- License Number (1)
- 11613
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 29122
- License State (2)
- CA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
- License State (3)
- OH
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stephanie M Ernestus, PHD?
The NPI number of Stephanie M Ernestus, PHD is 1962803122. It was assigned on September 8, 2014 and is currently active in the NPPES registry.
What is the specialty of Stephanie M Ernestus, PHD?
Stephanie M Ernestus, PHD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number 11613.
Where does Stephanie M Ernestus, PHD practice?
The practice location is 320 Washington St, North Easton, MA 02357-3247. The office can be reached at 424-453-4573 (phone) or 614-355-9589 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962803122 directly on the NPPES registry website.