Provider Demographics
NPI:1366790420
Name:PEPPER, SARAH STAMPLEY (MS)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:STAMPLEY
Last Name:PEPPER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 JEFFERSON BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501
Mailing Address - Country:US
Mailing Address - Phone:318-487-5395
Mailing Address - Fax:318-487-5463
Practice Address - Street 1:214 JEFFERSON BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501
Practice Address - Country:US
Practice Address - Phone:318-487-5395
Practice Address - Fax:318-487-5463
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst