Dr. Stacy J Blankenbuehler
Psychologist
421 Chestnut St
Evansville
, Indiana 47713-1227
Dr. Stacy J Blankenbuehler
Psychologist
421 Chestnut St
Evansville
, Indiana 47713-1227
(812) 450-6822
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Stacy J Blankenbuehler
- Po Box 3868
- Evansville, IN
- Zip : 47737-3868
- Fax : (812) 450-6822
- Phone : (812) 450-6815
Second Address
- Dr. Stacy J Blankenbuehler
- 421 Chestnut St
- Evansville, IN
- Zip : 47713-1227
- Fax : (812) 426-6610
- Phone : (812) 426-9779
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 20042344A | IN |
| Y | 103T00000X | Psychologist | 20042344A | IN |
National Provider Identifier
| NPI | 1003050907 |
|---|---|
| Provider Name | Dr. Stacy J Blankenbuehler |
| First Address | Evansville, IN 47737-3868 |
| Second Address | Evansville, IN 47713-1227 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2009 |
| Last Update Date | 02/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200947210 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.