Sally Stader is a Psychologist in Lakeland, Florida. Sally Stader practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sally Stader is 1639397169. The last update date is 2022-12-10.
Sally Stader's current location address is 4404 S Florida Ave Ste 3, Lakeland, Florida. You can contact this provider via phone number 8632472626. The mailing address for Sally Stader is 4404 S Florida Ave Ste 3, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally Stader |
|---|---|
| Address | 4404 S Florida Ave Ste 3, Lakeland, Florida |
| Phone Number | 8632472626 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1639397169 |
|---|---|
| Provider Enumeration Date | 2007-04-22 |
| Last Updated Date | 2022-12-10 |
Provider Mailing Address Detail
| Address | 4404 S Florida Ave Ste 3 |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338132183 |
| Phone Number | 8632472626 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 20040657A |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Sally Stader by the Centers for Medicare & Medicaid Services (CMS)?
The Sally Stader has been assigned the NPI (National Provider Identifier) 1639397169. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Sally Stader located?
The Sally Stader is located at 4404 S Florida Ave Ste 3, Lakeland, FL 338132183.
What is Sally Stader's area of expertise and its corresponding taxonomy classification?
The Sally Stader's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
When did Sally Stader receive its 1639397169 assignment?
The Sally Stader was assigned its 1639397169 on 2007-04-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Sally Stader, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sally Stader, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-12-10.
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