Organization · Type 2 NPI

Kory Stotesbery Do, Inc.

Adolescent and Children Mental Health Clinic/Center · Walnut Creek, CA

NPI number 1295193670 Active

Practice location

1501 N Broadway, Suite 200
Walnut Creek, CA 94596-4296

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850X20A12798 (CA)
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855X20A12798 (CA)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1295193670

Kory Stotesbery Do, Inc.'s National Provider Identifier is 1295193670, issued on Feb 1, 2016. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Walnut Creek, CA. The record was last updated on Feb 1, 2016.