Provost, Stefanie

Provost, Stefanie is an individual health care provider with primary practice located at 3211 Grant Line Rd Ste 15 , New Albany IN 47150-2175. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Provost, Stefanie can be contacted via phone (502) 417-9830.

Contact Information

Primary practice address
3211 Grant Line Rd Ste 15 New Albany IN 47150-2175
Phone: (502) 417-9830
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1093184426
LBN Legal business name Provost, Stefanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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