Healthcare Provider Details

I. General information

NPI: 1174615561
Provider Name (Legal Business Name): STELLA Y. HSHIEH ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 BRUCE ST
CANAL FULTON OH
44614-9313
US

IV. Provider business mailing address

PO BOX 369
CANAL FULTON OH
44614-0369
US

V. Phone/Fax

Practice location:
  • Phone: 330-854-5503
  • Fax: 330-854-5603
Mailing address:
  • Phone: 330-854-5503
  • Fax: 330-854-5603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number5163
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5163
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number5163
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: