Edward Staba, PSY.D
Psychologist · Marion, IL
Practice location
2401 W Main StMarion, IL 62959-1188
- Phone
- (618) 997-5311
NPI record
- NPI
- 1275164543
- Entity type
- Individual (Type 1)
- Enumeration date
- January 27, 2020
- Last updated
- January 27, 2020
- Certified
- January 27, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
071.010207 | IL |
Mailing address
205 Archelle DrCarbondale, IL 62901-1956
- Phone
- (561) 602-8129
About Dr. Staba
Edward Staba, PSY.D is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 2401 W Main St, Marion, IL 62959-1188. The NPI number 1275164543 was assigned on January 27, 2020 and the record was last updated on January 27, 2020.
Dr. Staba lists a license in the registry: #071.010207 (IL) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Edward Staba, PSY.D?
The NPI number is 1275164543.
What is the phone number of Dr. Staba?
The phone number listed for the practice location is (618) 997-5311.
Where is Dr. Staba located?
2401 W Main St, Marion, IL 62959-1188.
What is the taxonomy code for Dr. Staba?
The primary taxonomy code is 103T00000X – Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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