Stembel, Jessica Alyce
Stembel, Jessica Alyce is an individual health care provider with primary practice located at 8320 Madison Ave , Indianapolis IN 46227-6066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stembel, Jessica Alyce can be contacted via phone (317) 494-0739.Contact Information
Primary practice address
8320 Madison Ave
Indianapolis IN 46227-6066
Phone: (317) 494-0739
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 20042096 | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042096A | Indiana |
Profile Details
| NPI number | 1659439628 |
|---|---|
| LBN Legal business name | Stembel, Jessica Alyce |
| Credentials | PSY.D., HSPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jun 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659439628 | NPPES |
| Indiana | MEDICAID | 200845530 |
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