Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beth Ellen Stanford, MHP

Individual provider Rehabilitation Practitioner · NPI 1043940984

Beth Ellen Stanford, MHP is a Rehabilitation Practitioner in Waterloo, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone: (618) 939-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1043940984
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHP
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing address988 N Illinois Route 3, Waterloo, IL 62298-1059

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