Provider Demographics
NPI:1346220639
Name:STEHLE, NORMAN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:SCOTT
Last Name:STEHLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EAST LANCASTER AVENUE
Mailing Address - Street 2:MEDICAL OFFICE BUILDING
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096
Mailing Address - Country:US
Mailing Address - Phone:610-649-0561
Mailing Address - Fax:
Practice Address - Street 1:100 EAST LANCASTER AVENUE
Practice Address - Street 2:MEDICAL OFFICE BUILDING
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096
Practice Address - Country:US
Practice Address - Phone:610-649-0561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042818L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
0537724000OtherMAGELLAN BEHAVIORAL HEALT
PA0014534400001Medicaid
FO9501Medicare UPIN
PA0014534400001Medicaid