Basic Information
| Provider Information | |||||||||
| NPI: | 1598702029 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAPALEO | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1704 GUAVA LN | ||||||||
| Address2: | |||||||||
| City: | EL CAJON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920208328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6198923595 | ||||||||
| FaxNumber: | 8003341041 | ||||||||
| Practice Location | |||||||||
| Address1: | 5400 CONNECTICUT AVE | ||||||||
| Address2: | SUITE E | ||||||||
| City: | LA MESA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 919421213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6198923595 | ||||||||
| FaxNumber: | 8003341041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2006 | ||||||||
| LastUpdateDate: | 10/25/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | PSY7515 | CA | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.