DR. STEPHEN J LARGE (NPI# 1114213295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114213295 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN J LARGE |
| Credential | PSY.D. |
| Practice Address |
542 W 6th St # 3 Erie PA 16507-1169 |
| Practice Telephone | 9372123845 |
| Mailing Telephone | 9372123845 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS016742 | PA | Behavioral Health & Social Service Providers |
| Street Address |
542 W 6TH ST # 3 |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075956 | Lisa Pawlowski | Psychologist | 1176 Allen Ct, Erie, CO 80516-7007 | 2019-10-24 |
| 1750702791 | Melanie Hetzel-riggin | Psychologist | 5501 Gardner Dr, Erie, PA 16509-3020 | 2013-12-18 |
| 1447552856 | Rebecca Lynne Billings | Psychologist | 1373b West 6th Street, Frontier Place, Erie, PA 16505-2503 | 2010-11-18 |
| 1497891360 | Bridget Ann Engel | Psychologist | 526 Briggs St., Suite A, Erie, CO 80516 | 2007-01-29 |
| 1831257849 | David James Johnson | Psychologist | 4622 Peach St., Level 2, Erie, PA 16509-2084 | 2006-12-04 |
| 1417025347 | Michelle M. Domowicz | Psychologist | 11 W 33rd St, Erie, PA 16508-2807 | 2006-11-30 |
| 1518052943 | Marilyn Marshall Hahn | Psychologist | 3939 West Ridge Road, Suite B-23, Erie, PA 16506 | 2006-10-03 |
| 1275625873 | Stephanie Shain Smith | Psychologist | 874 Mircos St, Erie, CO 80516-5407 | 2006-09-29 |
| 1346352481 | Jill Alexander-gottesman | Psychologist | 731 Lincoln Ave, Erie, PA 16505-5015 | 2006-08-31 |
| 1699788083 | Jodi J. De Luca | Psychologist | 671 Mitchell Way Ste 109, Erie, CO 80516-5445 | 2006-08-15 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.