Doctor Name: | DR. ROBERTA FRANCES STAHNKE |
NPI Number: | 1023021243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | |
Business Practice Address: | 675 W North Ave Suite 206 Melrose Park, IL - 601601634 |
Business Phone Number: | 7086817309 |
Business Fax Number: | 7086817683 |
Mailing Address: | 4711 W. Golf Rd., Suite 400 SKOKIE |
State: | IL |
Postal Code: | 60076 |
Phone Number: | 8476793079 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |