DR. FRED EMERY STICKLE PH.D. NPI 1124245717

NPI Information

  • NPI: 1124245717
  • Provider Name: DR. FRED EMERY STICKLE, PH.D.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 410 EAST 11TH
    BOWLING GREEN, KY
    ZIP 42101
  • Phone: (270) 842-2102

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NPI Details

DR. Fred Emery Stickle, PH.D. is a professional counselor in Bowling Green, KY. DR. Fred Emery Stickle, PH.D. NPI is 1124245717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

410 EAST 11TH
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 842-2102
Fax: (270) 782-5312

The enumeration date for this NPI number is 4/18/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional0024KENTUCKYYes
2106H00000XMarriage & Family Therapist0048KENTUCKYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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