Dr Stephen Willis, PHD - Psychologist in San Rafael, CA

Dr Stephen Willis, PHD is a Psychologist - Clinical based in San Rafael, California. Dr Stephen Willis is licensed to practice in California (license number 13111) and his current practice location is 4460 Redwood Hwy # 16-320, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at (415) 990-0997.

NPI number for Dr Stephen Willis is 1134581986 and his current mailing address is 4460 Redwood Hwy # 16-320, San Rafael, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134581986.

Contact Information

Dr Stephen Willis, PHD
4460 Redwood Hwy # 16-320,
San Rafael, CA 94903-1951
(415) 990-0997
Not Available



Healthcare Provider's Profile

Full NameDr Stephen Willis
GenderMale
SpecialityPsychologist - Clinical
Location4460 Redwood Hwy # 16-320, San Rafael, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134581986
  • Provider Enumeration Date: 03/22/2016
  • Last Update Date: 03/24/2016

Medical Identifiers

Medical identifiers for Dr Stephen Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134581986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 13111 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephen Willis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Stephen Willis, PHD
4460 Redwood Hwy # 16-320,
San Rafael, CA 94903-1951

Ph: (415) 990-0997
Dr Stephen Willis, PHD
4460 Redwood Hwy # 16-320,
San Rafael, CA 94903-1951

Ph: (415) 990-0997

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Psychologist in San Rafael, CA

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