Provider Demographics
NPI:1801103924
Name:JOSTEN, STEFANIE RUTH (PHD)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:RUTH
Last Name:JOSTEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:STEFANIE
Other - Middle Name:RUTH
Other - Last Name:VARGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:2100 MACK BLVD FL 4
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5622
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:
Practice Address - Street 1:3701 CORRIERE RD STE 10
Practice Address - Street 2:
Practice Address - City:PALMER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18045-7991
Practice Address - Country:US
Practice Address - Phone:484-591-7060
Practice Address - Fax:484-591-7061
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5296103TC0700X
PAPS020017103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical