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General NPI Number Information
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NPI Number | 1700219458
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Entity Type | Organization
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Legal Business Name | STEMBEL PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 148 SAGAMORE PKWY W.
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-1569
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Country | US
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Telephone | 765-366-0580
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Fax | 765-295-7962
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Provider Business Mailing Address
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Address Line | 148 SAGAMORE PKWY W.
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-1569
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Country | US
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Telephone | 765-366-0580
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Fax | 765-295-7962
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Authorized Official
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Title or Position | OWNER/AUTH. OFFICIAL
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Name | DR. SHARI R STEMBEL
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Credential | PH.D., HSPP
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Telephone | 765-366-0580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20041072A
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License Number State | IN
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