Provider Demographics
NPI:1427271329
Name:EINHORN, STANLEY G (PHD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:G
Last Name:EINHORN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6233 SOQUEL DR STE E
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3184
Mailing Address - Country:US
Mailing Address - Phone:831-359-5842
Mailing Address - Fax:831-359-5842
Practice Address - Street 1:6233 SOQUEL DR STE E
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3184
Practice Address - Country:US
Practice Address - Phone:831-359-5842
Practice Address - Fax:831-359-5842
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13906103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical