Stoll, Stephanie Bethke

Stoll, Stephanie Bethke is an individual health care provider with primary practice located at 4 Office Park Cir Suite 215-A, Mountain Brk AL 35223-2511. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Stoll, Stephanie Bethke can be contacted via phone (205) 414-6686.

Contact Information

Primary practice address
4 Office Park Cir Suite 215-A Mountain Brk AL 35223-2511
Phone: (205) 414-6686
Fax: (205) 449-5959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1404 Alabama

Profile Details

NPI number 1922299890
LBN Legal business name Stoll, Stephanie Bethke
Credentials PH.D., BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Oct 12th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922299890 NPPES
Alabama MEDICAID 6107

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