Provider Demographics
NPI:1609465004
Name:PROCELL, STEPHANIE HOPE (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:HOPE
Last Name:PROCELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4932 TRENTON ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6420
Mailing Address - Country:US
Mailing Address - Phone:813-363-0515
Mailing Address - Fax:
Practice Address - Street 1:4932 TRENTON ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6420
Practice Address - Country:US
Practice Address - Phone:813-363-0515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024105103TF0200X
LA1622103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic