Individual
ELLEN D. STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1722 PINE ST, 1ST FLOOR, PHILADELPHIA, PA 19103-6764
(215) 545-2655
Mailing address
1455 HAMPSTEAD RD, WYNNEWOOD, PA 19096-3105
(215) 545-2655
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008455L
PA
103TC0700X
Clinical Psychologist
PS008455L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0495987000
INDEPENDENCE BLUE CROSS
PA
01
—
608672
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/11/2007
Last updated
07/23/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us