Individual
DR. JASON VON STIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25500 HAWTHORNE BLVD STE 25500, TORRANCE, CA 90505-6829
(310) 375-4855
Mailing address
1000 E 32ND ST APT B, SIGNAL HILL, CA 90755-5128
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
33061
CA
103TC0700X
Clinical Psychologist
33061
CA
103TE1100X
Exercise & Sports Psychologist
Primary
33061
CA
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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