Provider Demographics
NPI:1487618120
Name:SETLIFF, STEPHANIE CAROL (MD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:CAROL
Last Name:SETLIFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4716 ALLIANCE BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5371
Mailing Address - Country:US
Mailing Address - Phone:972-476-0800
Mailing Address - Fax:972-596-1916
Practice Address - Street 1:4716 ALLIANCE BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5371
Practice Address - Country:US
Practice Address - Phone:972-476-0800
Practice Address - Fax:972-596-1916
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK96622084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045648501Medicaid
TX045648501Medicaid
TX8756K0Medicare ID - Type Unspecified