Provider Demographics
NPI:1699978551
Name:SHUCHTER, STEPHEN ROY (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ROY
Last Name:SHUCHTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4329 HERMOSA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103
Mailing Address - Country:US
Mailing Address - Phone:619-295-4285
Mailing Address - Fax:619-696-3315
Practice Address - Street 1:2445 5TH AVENUE
Practice Address - Street 2:#402
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101
Practice Address - Country:US
Practice Address - Phone:619-540-8990
Practice Address - Fax:619-696-3315
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CACAG278042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry