Provider Demographics
NPI:1932975588
Name:EARGLE, STARLING ROSE
Entity Type:Individual
Prefix:
First Name:STARLING
Middle Name:ROSE
Last Name:EARGLE
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 1:25039 STARR ST APT 7
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2831
Mailing Address - Country:US
Mailing Address - Phone:803-667-1482
Mailing Address - Fax:
Practice Address - Street 1:25039 STARR ST APT 7
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2831
Practice Address - Country:US
Practice Address - Phone:803-667-1482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist