Smith Kellen, Stephanie Carol

Smith Kellen, Stephanie Carol is an individual health care provider with primary practice located at 630 S 36Th Ave , Wausau WI 54401-3930. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Smith Kellen, Stephanie Carol can be contacted via phone (855) 607-8242.

Contact Information

Primary practice address
630 S 36Th Ave Wausau WI 54401-3930
Phone: (855) 607-8242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12262 Nebraska
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X RBT-18-65709 Oklahoma
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4155-57 Wisconsin

Profile Details

NPI number 1801366992
LBN Legal business name Smith Kellen, Stephanie Carol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2018
Last updated Oct 13th, 2023 - about 2 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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