| Diane Carolan Stegman Psychotherapy Llc | |
|
500 Lincoln Park Blvd Suite 308 Kettering OH 45429-3492 | |
| (937) 298-6288 | |
| (937) 298-6271 |
| Full Name | Diane Carolan Stegman Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 500 Lincoln Park Blvd, Kettering, Ohio |
| Authorized Official Name and Position | Diane Carolan-stegman (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9372986288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Carolan Stegman Psychotherapy Llc 500 Lincoln Park Blvd Suite 308 Kettering OH 45429-3492 Ph: (937) 298-6288 | Diane Carolan Stegman Psychotherapy Llc 500 Lincoln Park Blvd Suite 308 Kettering OH 45429-3492 Ph: (937) 298-6288 |
| NPI Number | 1043336571 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9133148331 |
|---|---|
| Medicare Enrollment ID | O20190619000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043336571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I3951 (Ohio) | Primary |
| Provider Name | Martha Diane Carolan Stegman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093729337 PECOS PAC ID: 0345269544 Enrollment ID: I20190619000775 |
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