Most Relevant Information
Provider Data
| NPI Number: | 1003050907 |
| Provider Name: | STACY J BLANKENBUEHLER PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 20042344A |
Most Important Dates
| Enumeration Date: | 04/23/2009 |
| Last Updated: | 01/02/2013 |
Provider Practice Location
421 CHESTNUT ST
EVANSVILLE
IN
477131227
Practice Location Phone/Fax
| Phone: | 8124269779 |
| Fax: | 8124266610 |
Provider Mailing Location
PO BOX 3868
EVANSVILLE
IN
477373868
Provider Mailing Phone/Fax
| Phone: | 8124506815 |
| Fax: | 8124506822 |