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NPI Code Detail

MEDICARE: TERRY F. STEMPLE LICSW

MEDICARE:   TERRY F. STEMPLE  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerDP00454368WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2Y141559OTHERWVHEALTH PLAN

General Provider Information

NPI Number : 1477615920
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY F. STEMPLE LICSW
Provider Business Mailing Address
First Line : 501 COLLIERS WAY
Second Line :
City : WEIRTON
State : WV
Zip : 26062-5003
Country : US
Telephone Number : 304-723-5440
Fax Number : 304-723-0665
Provider Business Practice Location Address
First Line : 501 COLLIERS WAY
Second Line :
City : WEIRTON
State : WV
Zip : 26062-5003
Country : US
Telephone Number : 304-723-5440
Fax Number : 304-723-0665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/09/2007

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