Provider Demographics
NPI:1235940222
Name:STEGEMANN, EMMA CLAIRE
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CLAIRE
Last Name:STEGEMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1947 LARKSPUR DR APT 1302
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-4953
Mailing Address - Country:US
Mailing Address - Phone:832-338-6838
Mailing Address - Fax:
Practice Address - Street 1:13003 JONES MALTSBERGER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-4220
Practice Address - Country:US
Practice Address - Phone:210-979-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician