Doctor Name: | MRS. SHERRIE STAHL |
NPI Number: | 1043676141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., C.A.S. |
License Number: | |
Business Practice Address: | 6395 Old Niagara Rd Lockport, NY - 140941421 |
Business Phone Number: | 7164339592 |
Business Fax Number: | 7164333464 |
Mailing Address: | 6395 Old Niagara Rd, LOCKPORT |
State: | NY |
Postal Code: | 140941421 |
Phone Number: | 7164339592 |
Fax Number: | 7164333464 |
NPI Enumeration Date: | 01/06/2016 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |