Provider Demographics
NPI:1144641515
Name:STEBNER, TERESA (LPCMH)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:
Last Name:STEBNER
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 CHAPMAN RD
Mailing Address - Street 2:205 C COMMONWEALTH BUILDING UNIVERSITY OFFICE PLAZA
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5490
Mailing Address - Country:US
Mailing Address - Phone:302-533-7532
Mailing Address - Fax:302-533-7584
Practice Address - Street 1:260 CHAPMAN RD
Practice Address - Street 2:205 C COMMONWEALTH BUILDING UNIVERSITY OFFICE PLAZA
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5490
Practice Address - Country:US
Practice Address - Phone:302-533-7532
Practice Address - Fax:302-533-7584
Is Sole Proprietor?:No
Enumeration Date:2014-01-02
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000772101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional