Provider Demographics
NPI:1174822217
Name:FRANCIS, STELLA L (MA, PSYD)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:L
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MA, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1314 BEDFORD AVENUE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:443-295-4864
Mailing Address - Fax:443-295-4864
Practice Address - Street 1:1314 BEDFORD AVENUE
Practice Address - Street 2:SUITE 214
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:443-295-4864
Practice Address - Fax:443-295-4864
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04765103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD050901900Medicaid
MD050901900Medicaid