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Contact Information

STACY L VENDITTO, PHD
4085 INDIAN BEND RD
SNOWFLAKE, AZ85937-6521
 Phone: 928-498-7372
 Fax: 928-498-7372
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Religious Nonmedical Practitioner

374K00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for STACY L VENDITTO · (Female)

NPI # 1346056389
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/04/2024
Last updated 12/04/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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