Individual
STEPHANIE A LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7040 AVENIDA ENCINAS STE 104-116, CARLSBAD, CA 92011-4652
(858) 215-1432
Mailing address
7040 AVENIDA ENCINAS STE 104-116, CARLSBAD, CA 92011-4652
(858) 215-1432
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2009
Last updated
04/11/2024
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