Provider Demographics
NPI:1700470762
Name:OSMAN, STEPHANIE (MED)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:OSMAN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 BENNER RD APT 102
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4657
Mailing Address - Country:US
Mailing Address - Phone:484-725-7568
Mailing Address - Fax:
Practice Address - Street 1:3865 ADLER PL FL 2
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9000
Practice Address - Country:US
Practice Address - Phone:610-867-3173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-21
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health