Healthcare Provider Details

I. General information

NPI: 1073227120
Provider Name (Legal Business Name): JUDITH STUEHRMANN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2023
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

749 SPRINGDALE DR
EXTON PA
19341-2829
US

IV. Provider business mailing address

51 THOMPSON RD
COCHRANVILLE PA
19330-1794
US

V. Phone/Fax

Practice location:
  • Phone: 610-524-5850
  • Fax:
Mailing address:
  • Phone: 484-624-7866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW128046
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: