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Individual

BENJAMIN A STEPANOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
17326 EDWARDS RD, SUITE 115, CERRITOS, CA 90703-2443
(562) 921-5701
(562) 921-5703
Mailing address
17326 EDWARDS RD, SUITE 115, CERRITOS, CA 90703-2443
(562) 921-5701
(562) 921-5703

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY22896
CA
103TC0700X
Clinical Psychologist
Primary
PSY22896
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY22896
CA

Other

Enumeration date
09/30/2009
Last updated
09/30/2009
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