Individual
STEPHANIE STAIDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7235 112TH ST APT 11F, FOREST HILLS, NY 11375-5443
(203) 610-2671
Mailing address
10154 SIERRA VISTA AVE, LA MESA, CA 91941-4335
(203) 610-2671
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
221700000X
Art Therapist
Primary
001364
NY
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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