DR. STEPHEN DREW PH.D. NPI 1255465266

NPI Information

NPI: 1255465266
Provider Name: DR. STEPHEN DREW, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
750 LAS GALLINAS AVE STE 203
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 491-4859
Get Directions

DR. Stephen Drew, PH.D. is a clinical neuropsychologist in San Rafael, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Stephen Drew, PH.D. NPI is 1255465266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 LAS GALLINAS AVE STE 203
SAN RAFAEL, CA
ZIP 94903-432
Phone: (415) 491-4859

The enumeration date for this NPI number is 3/15/2007 and was last updated on 2/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		PSY12302	CALIFORNIA	No
2	103TA0700X	Psychologist	Adult Development & Aging	PSY12302	CALIFORNIA	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	PSY12302	CALIFORNIA	No
4	103TC0700X	Psychologist	Clinical	PSY12302	CALIFORNIA	No
5	103TC2200X	Psychologist	Clinical Child & Adolescent	PSY12302	CALIFORNIA	No
6	103TF0000X	Psychologist	Family	PSY12302	CALIFORNIA	No
7	103TH0100X	Psychologist	Health Service	PSY12302	CALIFORNIA	No
8	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	PSY12302	CALIFORNIA	No
9	103TP2701X	Psychologist	Group Psychotherapy	PSY12302	CALIFORNIA	No
10	103TR0400X	Psychologist	Rehabilitation	PSY12302	CALIFORNIA	No
11	103G00000X	Clinical Neuropsychologist		PSY12302	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PSY123020	MEDICAID	CALIFORNIA
2	OPL123020	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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