Provider Demographics
NPI:1750790440
Name:DRESCHER, STEPHANIE
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:DRESCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 N KENYON ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-6108
Mailing Address - Country:US
Mailing Address - Phone:463-210-9951
Mailing Address - Fax:866-576-1671
Practice Address - Street 1:60 N KENYON ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-6108
Practice Address - Country:US
Practice Address - Phone:463-254-0318
Practice Address - Fax:866-576-1671
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service