| Nancy Stella Phd Psyd, Llc | |
|
4450 Carver Woods Dr Blue Ash OH 45242-5527 | |
| (513) 984-9940 | |
| (513) 984-9858 |
| Full Name | Nancy Stella Phd Psyd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4450 Carver Woods Dr, Blue Ash, Ohio |
| Authorized Official Name and Position | Nancy Stella (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 5139849940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Stella Phd Psyd, Llc 4450 Carver Woods Dr Blue Ash OH 45242-5527 Ph: (513) 984-9940 | Nancy Stella Phd Psyd, Llc 4450 Carver Woods Dr Blue Ash OH 45242-5527 Ph: (513) 984-9940 |
| NPI Number | 1710381058 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 10/15/2014 |
| Medicare PECOS PAC ID | 5698997013 |
|---|---|
| Medicare Enrollment ID | O20141119000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710381058 | NPI | - | NPPES |
| 1790836534 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5080 (Ohio) | Primary |
| Provider Name | Nancy Stella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790836534 PECOS PAC ID: 2466364690 Enrollment ID: I20111129000448 |
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