MEDICARE: STEPHANIE MICHELLE HARTLEY

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
1	103T00000X	Psychologist	2025047854	MO

General Provider Information

NPI Number	:	1528929577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MICHELLE HARTLEY

Provider Business Mailing Address
First Line	:	1623 E SAINT LOUIS ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65802-3129
Country	:	US
Telephone Number	:	417-343-3322
Fax Number	:	417-833-2727

Provider Business Practice Location Address
First Line	:	1623 E SAINT LOUIS ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65802-3129
Country	:	US
Telephone Number	:	417-833-9999
Fax Number	:	417-833-2727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1659748754 — MR. STEPHEN BENINTENDI LPC, SRT, EMDR
Practice Location Address:

1623 E SAINT LOUIS ST
SPRINGFIELD, MO
65802-3129

Practice Phone: 417-833-9999
Practice Fax:

1487733713 — DR. PAUL C. MACH DN
Practice Location Address:

3129 SPAULDING ORCHARD RD
SPRINGFIELD, IL
62711-7318

Practice Phone: 217-638-6224
Practice Fax:

1306335609 — STEPHANIE DUNN
Practice Location Address:

3129 SUPERIOR DR
SPRINGFIELD, IL
62707-9378

Practice Phone: 217-816-2640
Practice Fax:

1679242226 — OLLIE HOME CARE SERVICES, LLC
Practice Location Address:

1816 ALBERT ST
SPRINGFIELD, IL
62702-3129

Practice Phone: 217-671-9846
Practice Fax:

1144204611 — DR. CAMALA PORTER M.D.
Practice Location Address:

1423 N JEFFERSON AVE
SPRINGFIELD, MO
65802-1917

Practice Phone: 417-269-6583
Practice Fax: 417-269-6573

Directions to “ STEPHANIE MICHELLE HARTLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.