Provider Demographics
NPI:1962573329
Name:SPRINKEL, STEPHEN L (MFT)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:L
Last Name:SPRINKEL
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7721 AUTUMN RIDGE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523
Mailing Address - Country:US
Mailing Address - Phone:775-355-9043
Mailing Address - Fax:775-331-1159
Practice Address - Street 1:1055 ROBERTA LANE
Practice Address - Street 2:SUITE 102 B
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2821
Practice Address - Country:US
Practice Address - Phone:775-355-9904
Practice Address - Fax:775-331-1159
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0139106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist