Doctor Name: | MS. CHERYL L STUMPF |
NPI Number: | 1154491355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | PC000671 |
Business Practice Address: | 7 Courtyard Offices Ste 330 N. Old Susquehanna Trail Selinsgrove, PA - 178709374 |
Business Phone Number: | 5707432323 |
Business Fax Number: | |
Mailing Address: | 32 Greenbrier Ave, SELINSGROVE |
State: | PA |
Postal Code: | 178709105 |
Phone Number: | 5707434041 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC000671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |