Individual
DR. ANNIE L STACHOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1214 PIERCE ST, SIOUX CITY, IA 51105-1417
(712) 202-2255
Mailing address
1214 PIERCE ST, SIOUX CITY, IA 51105-1417
(712) 202-2255
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1013
NE
103T00000X
Psychologist
Primary
107094
IA
103TH0100X
Health Service Psychologist
107513
IA
103TS0200X
School Psychologist
2017003144
NE
Other
Enumeration date
02/07/2018
Last updated
03/08/2021
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