Provider Demographics
NPI:1316115975
Name:STEWART, TRISHA LYNN (MA LMFT)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:LYNN
Last Name:STEWART
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43247 ELIZABETH LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-2999
Mailing Address - Country:US
Mailing Address - Phone:661-547-5419
Mailing Address - Fax:
Practice Address - Street 1:43517 SAHUAYO ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-5005
Practice Address - Country:US
Practice Address - Phone:661-274-0770
Practice Address - Fax:661-274-9970
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 54698106H00000X
CALMFT51355106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist