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Stephanie Lynne Danial

Marriage & Family Therapist

Behavioral Health & Social Service Providers

8881 Fletcher Pkwy Ste 360, La Mesa, CA 91942-6103

PECOS Enrollment

This provider is enrolled in PECOS as STEPHANIE DANIAL.

Based on the most recent information from CMS, provider Stephanie Lynne Danial is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1164937454
Provider Type
Individual
Full Name
Danial, Stephanie Lynne
Credential
LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/8/2017
Last Updated
8/9/2024

Contact Information

Practice Location

8881 Fletcher Pkwy Ste 360, La Mesa, CA 91942-6103

(858) 279-1223

Unlisted Fax

Mailing Location

8881 Fletcher Pkwy Ste 360, La Mesa, CA 91942-6103

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 119208 California

Stephanie Lynne Danial

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Casey, Tristana Nicole

Stanfield, Jamilah

Siria, Joel Andres

Ippolito, Stacy

Maxwell, Michele

Chevalier, Donna Louise

Takeda, Gloria Elysia

Barkawi-Buck, Kazaran Gayla

Assenti, Erica Renee

Barth, Kerry L