Stahley-Lake, Tannen
Stahley-Lake, Tannen is an sole proprietor health care provider with primary practice located at 163 Plaza Rd , Indiana PA 15701-3264. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stahley-Lake, Tannen can be contacted via phone (724) 465-2311.Contact Information
Primary practice address
163 Plaza Rd
Indiana PA 15701-3264
Phone: (724) 465-2311
Fax: (724) 465-2339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS015411 | Pennsylvania |
Profile Details
| NPI number | 1760482541 |
|---|---|
| LBN Legal business name | Stahley-Lake, Tannen |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Apr 30th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760482541 | NPPES |
| Other | ST1500807 | BS# |
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