Provider Demographics
NPI:1851466494
Name:STEWART, HUGH ALEXANDER (BS)
Entity type:Individual
Prefix:MR
First Name:HUGH
Middle Name:ALEXANDER
Last Name:STEWART
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 EVERETT AVE
Mailing Address - Street 2:APT. #3
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-1447
Mailing Address - Country:US
Mailing Address - Phone:650-321-4309
Mailing Address - Fax:
Practice Address - Street 1:232 E GISH RD
Practice Address - Street 2:APT. #3
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-4706
Practice Address - Country:US
Practice Address - Phone:408-876-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA41149OtherCOUNTY ID