Individual provider · Type 1 NPI
Sally Stader, PhD
Psychologist · Lakeland, FL
Practice location
4404 S.florida Ave., Suite #3
Lakeland, FL 33813-2169
Mailing address
4404 S Florida Ave Ste 3
Lakeland, FL 33813-2183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 20040657A (IN) |
| Psychologist Primary | 103T00000X | PY5379 (FL) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1639397169
Sally Stader, PhD's National Provider Identifier is 1639397169, issued on Apr 22, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lakeland, FL. The record was last updated on Dec 10, 2022.