Individual
DR. STEPHANIE BETHKE STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
4 OFFICE PARK CIR, SUITE 215-A, MOUNTAIN BRK, AL 35223-2511
(205) 414-6686
(205) 449-5959
Mailing address
4 OFFICE PARK CIR, SUITE 215-A, MOUNTAIN BRK, AL 35223-2511
(205) 414-6686
(205) 449-5959
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1404
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107
—
AL
Enumeration date
08/06/2007
Last updated
10/12/2012
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