Provider Demographics
NPI:1942783956
Name:PEIPER, STEPHEN M (MED/LICENSED BEHAVI)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:M
Last Name:PEIPER
Suffix:
Gender:M
Credentials:MED/LICENSED BEHAVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11923 COVERT ROAD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-3401
Mailing Address - Country:US
Mailing Address - Phone:267-334-8654
Mailing Address - Fax:
Practice Address - Street 1:1420 WALNUT STREET, US MEDICAL STAFFING INC
Practice Address - Street 2:SUITE 1350
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-4019
Practice Address - Country:US
Practice Address - Phone:215-664-3200
Practice Address - Fax:215-664-3201
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000085103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst