Dr. Stephanie Carol Smith Kellen
Psychologist in Wausau, WI. Individual provider (NPI-1).
NPI number1801366992
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1801366992
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie Carol Smith Kellen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2018
- Certification date
- Oct 13, 2023
- Last updated
- Oct 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 4155-57 | WI | Yes |
| 101YM0800X | Counselor, Mental Health | 12262 | NE | |
| 103K00000X | Behavior Analyst | RBT-18-65709 | OK | |
| 103TS0200X | Psychologist, School | – | – |
Practice location
630 S 36th AveWausau, WI 54401-3930
Phone 855-607-8242
Mailing address
630 S 36th AveWausau, WI 54401-3930
Phone 855-607-8242
Other practice locations
444 S 44th St
Omaha, NE 68131-3727
Omaha, NE 68131-3727
Phone 402-559-6408 · Fax 402-559-5737
700 Commerce Dr Ste 260
Woodbury, MN 55125-9243
Woodbury, MN 55125-9243
Phone 651-413-9121
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychologist providers in Wausau, WI
- Allyson Ende, Psyd LLCNPI 1447824875
- Eric M Anderson, PHDNPI 1205906179
- Courtney DerusNPI 1255765335
- Dix & Gillette Counseling Services LLPNPI 1457320723
- Anthony P Gillette, PHDNPI 1174564645
- Paul Hesse, PH.D.NPI 1164552477
- Shannon Colleen Huff, ED.S.NPI 1104166305
- Patrick John Lacy, PH.D.NPI 1245307388
- Jeffrey William Molter, PH.D.NPI 1326258633
- Rhea Owens, PH.D.NPI 1962836247
All 20 Psychologist providers in Wausau · All 2,366 providers in Wausau
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.