Provider Demographics
NPI:1154526754
Name:STELTER-FLETT, NICOLE ZOE (PHD, MFT)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ZOE
Last Name:STELTER-FLETT
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:ZOE
Other - Last Name:STELTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, MFT
Mailing Address - Street 1:5855 E NAPLES PLZ
Mailing Address - Street 2:SUITE 302
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-5060
Mailing Address - Country:US
Mailing Address - Phone:562-431-8822
Mailing Address - Fax:562-431-8875
Practice Address - Street 1:5855 E NAPLES PLZ
Practice Address - Street 2:SUITE 302
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-5060
Practice Address - Country:US
Practice Address - Phone:562-431-8822
Practice Address - Fax:562-431-8875
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35379106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC35379OtherMFT CLINICAL LICENSE