Individual
DR. REBECCA STILP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
210 E GRAY ST, SUITE 1105, LOUISVILLE, KY 40202-3900
(502) 583-1697
(502) 583-2120
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
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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