Provider Demographics
NPI:1194808782
Name:FRANCIS, STEPHEN E (PHD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:E
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17 GLEN EDEN AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4316
Mailing Address - Country:US
Mailing Address - Phone:510-336-0513
Mailing Address - Fax:510-336-0285
Practice Address - Street 1:17 GLEN EDEN AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4316
Practice Address - Country:US
Practice Address - Phone:510-336-0513
Practice Address - Fax:510-336-0285
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY17508103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist