Potts, Stephanie Ross

Potts, Stephanie Ross is an individual health care provider with primary practice located at 700 N Westhaven Dr , Oshkosh WI 54904-6947. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Potts, Stephanie Ross can be contacted via phone (920) 456-2030.

Contact Information

Primary practice address
700 N Westhaven Dr Oshkosh WI 54904-6947
Phone: (920) 456-2030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2018013237 Missouri
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071.010747 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2018013237 Missouri
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071.010747 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 5131 Wisconsin

Profile Details

NPI number 1144873159
LBN Legal business name Potts, Stephanie Ross
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2019
Last updated Mar 25th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144873159 NPPES
Wisconsin MEDICAID 100266414

Popular Providers