Thadal, Stephanie

Thadal, Stephanie is an sole proprietor health care provider with primary practice located at 1555 Nw Saint Lucie West Blvd , Port Saint Lucie FL 34986-1758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Thadal, Stephanie can be contacted via phone (772) 303-1148.

Contact Information

Primary practice address
1555 Nw Saint Lucie West Blvd Port Saint Lucie FL 34986-1758
Phone: (772) 303-1148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 406512 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11031757 Florida

Profile Details

NPI number 1235989393
LBN Legal business name Thadal, Stephanie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2024
Last updated May 4th, 2026 - about 5 months 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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