STEPHANIE D KETNER - NPI 1447555297 - Respite Care in Glendale, AZ

Q: What is the provider's specialty?

The provider's specialty is Respite Care with taxonomy code 385HR2055X and a focus in Respite Care, Mental Illness, Child.

On this page

About Stephanie D Ketner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE D KETNER (NPI 1447555297) is an individual respite care, mental illness, child provider in Glendale, Arizona, licensed in Arizona (2281564) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1447555297

Entity TypeIndividualFemale

Primary Taxonomy385HR2055X

Provider Legal NameSTEPHANIE D KETNER

Location Address4730 W SUNNYSIDE AVEGlendale, AZ 85304-2927

Mailing Address4730 W Sunnyside AveGlendale, AZ 85304-2927 · (602) 413-0115

Phone(602) 413-0115

Sole ProprietorYes

Enumeration DateJanuary 25, 2011

✔ NPI 1447555297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility

Taxonomy Code385HR2055X

License✔ Licensed in AZ · 2281564

Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

4730 W SUNNYSIDE AVE, Glendale, AZ 85304

Open in Google Maps ↗

Frequently Asked Questions

What is Stephanie Ketner's NPI number?

The NPI number assigned to this healthcare provider is 1447555297, enumerated as an "individual" on January 25, 2011.

Where is the provider located?

The provider is located at 4730 W SUNNYSIDE AVE GLENDALE, AZ 85304 and the phone number is (602) 413-0115.

What is the provider's specialty?

Respite Care with taxonomy code 385HR2055X and a focus in Respite Care, Mental Illness, Child.