Dr Stephanie Diane Creedon, PHD is a 
Psychologist based in Palm Bch Gardens, Florida. Dr Stephanie Diane Creedon is licensed to practice in Florida (license number PY6156) and her current practice location is 
3378 Forest Hill Blvd, Ste A-203 Palm Bch County School District, Palm Bch Gardens, Florida. She can be reached at her office (for appointments etc.) via phone at 
(561) 379-5785.
NPI number for Dr Stephanie Diane Creedon is 1619149002 and her current mailing address is 13591 Caloosa Blvd, Palm Bch Gardens, Florida. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619149002.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Stephanie Diane Creedon | 
|---|
| Gender | Female | 
|---|
| Speciality | Psychologist | 
|---|
| Location | 3378 Forest Hill Blvd, Palm Bch Gardens, Florida | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1619149002
 - Provider Enumeration Date: 03/26/2008
 - Last Update Date: 03/26/2008
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Stephanie Diane Creedon such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1619149002 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 103T00000X | Psychologist  | PY6156 (Florida) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephanie Diane Creedon is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr Stephanie Diane Creedon, PHD 13591 Caloosa Blvd, Palm Bch Gardens, FL 33418 Ph: (561) 694-0622 | Dr Stephanie Diane Creedon, PHD 3378 Forest Hill Blvd, Ste A-203 Palm Bch County School District, Palm Bch Gardens, FL 33406 Ph: (561) 379-5785 | 
		
		 
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