Individual
DR. SALLY STADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4404 S.FLORIDA AVE., SUITE #3, LAKELAND, FL 33813-2169
(863) 247-2626
Mailing address
4404 S FLORIDA AVE STE 3, LAKELAND, FL 33813-2183
(863) 247-2626
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20040657A
IN
103T00000X
Psychologist
Primary
PY5379
FL
Other
Enumeration date
04/22/2007
Last updated
12/10/2022
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