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

Dr. Sally Stader, PHD

Individual provider Psychologist · NPI 1639397169

Dr. Sally Stader, PHD is a Psychologist in Lakeland, Florida. Licensed in Florida and Indiana. Registered with an NPI since 2007.

Licensed in
FL, IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4404 S.florida Ave Ste #3
Lakeland, FL 33813-2169
Phone: (863) 247-2626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY5379 (FL)
Psychologist Taxonomy 103T00000X · Licence 20040657A (IN)

Record details

NPI number1639397169
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 22, 2007
Last updated in NPPESDecember 10, 2022
Certification dateDecember 10, 2022
Mailing address4404 S Florida Ave Ste 3, Lakeland, FL 33813-2183

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