Individual
DR. JESSICA ALYCE STEMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., HSPP
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 494-0739
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 494-0739
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042096A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20042096
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200845530
—
IN
Enumeration date
12/04/2006
Last updated
06/01/2023
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