Krystal Renee Stober in Phila - Psychologist
Krystal Renee Stober - NPI 1629257746
Krystal Renee Stober is a Psychologist in Phila, Pennsylvania. Krystal Renee Stober practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Krystal Renee Stober is 1629257746. The last update date is 2007-10-25.
Krystal Renee Stober's current location address is 833 Chestnut St, Phila, Pennsylvania. You can contact this provider via phone number 2155032814 and fax number 2159238219. The mailing address for Krystal Renee Stober is 833 Chestnut St, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krystal Renee Stober |
|---|---|
| Address | 833 Chestnut St, Phila, Pennsylvania |
| Phone Number | 2155032814 |
| Fax Number | 2159238219 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1629257746 |
|---|---|
| Provider Enumeration Date | 2007-10-25 |
| Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
| Address | 833 Chestnut St |
|---|---|
| City | Phila |
| State | Pennsylvania (PA) |
| Post Code | 191074414 |
| Phone Number | 2155032814 |
| Fax Number | 2159238219 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code issued to Krystal Renee Stober by the Centers for Medicare & Medicaid Services?
The Krystal Renee Stober has been assigned the NPI (National Provider Identifier) 1629257746 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Krystal Renee Stober?
The Krystal Renee Stober is physically situated at 833 Chestnut St, in the city of Phila, state of PA, with the postal code 191074414.
What is Krystal Renee Stober's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Krystal Renee Stober is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Krystal Renee Stober receive the assignment of its 1629257746 from the Centers for Medicare & Medicaid Services?
The Krystal Renee Stober was issued its 1629257746 by the Centers for Medicare & Medicaid Services on 2007-10-25.
As of what date were the Krystal Renee Stober's details last updated?
The information pertaining to the Krystal Renee Stober, including its address, specialty, and other details, was most recently updated on 2007-10-25.
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