Provider Demographics
NPI:1093548885
Name:ROJAS GALINDO, STEFANY ANDREINA (NCSP)
Entity type:Individual
Prefix:
First Name:STEFANY
Middle Name:ANDREINA
Last Name:ROJAS GALINDO
Suffix:
Gender:F
Credentials:NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7025 LARGE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1725
Mailing Address - Country:US
Mailing Address - Phone:267-234-8285
Mailing Address - Fax:
Practice Address - Street 1:7025 LARGE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1725
Practice Address - Country:US
Practice Address - Phone:267-234-8285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01696384103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool