Provider Demographics
NPI:1811069081
Name:STAPP, EMILY JOYCE (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:JOYCE
Last Name:STAPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1572 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-4250
Mailing Address - Country:US
Mailing Address - Phone:814-228-2252
Mailing Address - Fax:812-282-3890
Practice Address - Street 1:1572 PLANK RD
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-4250
Practice Address - Country:US
Practice Address - Phone:814-228-2252
Practice Address - Fax:812-282-3890
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010320272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN198750AMedicare PIN