Provider Demographics
NPI:1053694810
Name:TROMBLEY, STEPHEN L (LMFT)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:L
Last Name:TROMBLEY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2863
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91979-2863
Mailing Address - Country:US
Mailing Address - Phone:619-341-2369
Mailing Address - Fax:619-698-4475
Practice Address - Street 1:3344 4TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-5704
Practice Address - Country:US
Practice Address - Phone:619-341-2369
Practice Address - Fax:619-698-4475
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46917106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist