Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PS008507L | PA |
NPI | 1023563491 |
---|---|
Provider Name | Dr. Lori Stauffer |
First Address | Hatfield, PA 19440-0238 |
Second Address | Harleysville, PA 19438-2350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2016 |
Last Update Date | 16/08/2016 |