Individual
STEPHANIE WEDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W WOODLAWN AVE, LOUISVILLE, KY 40215-2472
(502) 409-7181
(888) 450-0935
Mailing address
800 W WOODLAWN AVE, LOUISVILLE, KY 40215-2472
(502) 409-7181
(888) 450-0935
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
171604
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271349572
—
KY
Enumeration date
09/14/2017
Last updated
07/21/2022
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