Individual
STEPHEN SHOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 E COLLEGE AVE STE 1090, STATE COLLEGE, PA 16801-7569
(814) 738-7655
Mailing address
3500 E COLLEGE AVE STE 1090, STATE COLLEGE, PA 16801-7569
(814) 738-7655
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
91813601
PA
376J00000X
Homemaker
91813601
PA
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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