Stacey Peerson is a Psychologist in Sacramento, California. Stacey Peerson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stacey Peerson is 1114901378. The last update date is 2007-07-08.
Stacey Peerson's current location address is 2230 Stockton Blvd, Sacramento, California. You can contact this provider via phone number 9167342972. The mailing address for Stacey Peerson is 2230 Stockton Blvd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Peerson |
|---|---|
| Address | 2230 Stockton Blvd, Sacramento, California |
| Phone Number | 9167342972 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1114901378 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2230 Stockton Blvd |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958171419 |
| Phone Number | 9167342972 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PL19258 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00PL192580 | CA | -- |
Post Comment/ Review Below
Can you provide the Stacey Peerson's physical address?
The Stacey Peerson is physically located at 2230 Stockton Blvd, in the city of Sacramento, CA, with the postal code 958171419.
When did the Stacey Peerson receive its 1114901378?
The Stacey Peerson was issued its 1114901378 on 2005-12-01, which is the date when the organization was assigned this unique identifier.
On what date did the Stacey Peerson receive its 1114901378 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Peerson was assigned its 1114901378 by the Centers for Medicare & Medicaid Services on 2005-12-01.
As of what date were the Stacey Peerson's details last updated?
The information pertaining to the Stacey Peerson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
As of what date were the details related to Stacey Peerson most recently updated or revised?
The information pertaining to Stacey Peerson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.