Individual
NANCY STELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PSYD
Contact information
Practice address
4240 HUNT RD, CINCINNATI, OH 45242-6612
(513) 891-0650
(513) 891-2838
Mailing address
4450 CARVER WOODS DR, STE 2, BLUE ASH, OH 45242-5528
(513) 891-0650
(513) 891-2838
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5080
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000106839
ANTHEM PROVIDER NUMBER
OH
01
—
198128000
MAGELLAN PROVIDER NUMBER
OH
Enumeration date
01/16/2007
Last updated
11/22/2016
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