Luther, Stacy Marie Stefaniak

Luther, Stacy Marie Stefaniak is an individual health care provider with primary practice located at 630 S 36Th Ave , Wausau WI 54401-3930. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Luther, Stacy Marie Stefaniak can be contacted via phone (715) 842-9500.

Contact Information

Primary practice address
630 S 36Th Ave Wausau WI 54401-3930
Phone: (715) 842-9500
Fax: (715) 848-0425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2499 - 226 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4116-57 Wisconsin

Profile Details

NPI number 1649666926
LBN Legal business name Luther, Stacy Marie Stefaniak
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2015
Last updated Dec 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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