Individual
DR. REBECCA STILP
Active
Individual
DR. REBECCA STILP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1748
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000867982
ANTHEM-NNS
KY
01
—
159324
SIHO-NNS
KY
01
—
50070979
PASSPORT-NNS
KY
05
—
7100299890
—
KY
Enumeration date
12/31/2013
Last updated
01/22/2021
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