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Provider Information for 1962573329


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Mr. STEPHEN L SPRINKEL MFT


Sex: Male

NPI: 1962573329
Last Updated: 2024-04-02
Certification Date: 2024-04-01

Details

NameValue
NPI1962573329
Enumeration Date2006-11-09
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 7721 AUTUMN RIDGE CIRCLE
RENO, NV 89523
United States

Phone: 775-355-9043 | Fax:775-331-1159
 
Primary Practice Address 1055 ROBERTA LANE
SUITE 102 B
SPARKS, NV 89431-2821
United States

Phone: 775-355-9904 | Fax:775-331-1159
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist NV0139