DR. SALLY STADER (PH.D.) – Psychologist, NPI 1639397169

DR. SALLY STADER (PH.D.) is a healthcare provider. based in Lakeland, Florida. specializing in Psychologist. They hold the professional credentials PH.D.. They hold a License No. 20040657A (IN). The NPI Number for DR. SALLY STADER (PH.D.) is 1639397169

Main info

Female
Name
DR. SALLY STADER (PH.D.)
NPI
1639397169
Phone
(863) 709-8110
Address
4404 S.FLORIDA AVE.
Enumeration Date
22 April 2007
Last Update Date
10 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. SALLY STADER (PH.D.)

  • 4404 S.FLORIDA AVE.

    SUITE #3

    LAKELAND, FL 338132169

    Phone: (863) 709-8110

    Fax: (863) 709-8118

    Type: Mailing

  • 4404 S FLORIDA AVE STE 3

    LAKELAND, FL 338132183

    Phone: (863) 247-2626

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33813)

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Frequently asked questions

How is DR. SALLY STADER (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. SALLY STADER (PH.D.) with NPI 1639397169.
Is DR. SALLY STADER (PH.D.) listed as active for patients and plans?
The listing shows DR. SALLY STADER (PH.D.) as active in the NPI system.
What taxonomy line describes DR. SALLY STADER (PH.D.)?
For research purposes, treat DR. SALLY STADER (PH.D.) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. SALLY STADER (PH.D.) based?
DR. SALLY STADER (PH.D.) is tied to Lakeland, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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