Stacey M Rodgers is a Clinical in San Anselmo, California. Stacey M Rodgers practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey M Rodgers is 1447471891. The last update date is 2007-07-08.
Stacey M Rodgers's current location address is 1 Deer Park Ln, San Anselmo, California. You can contact this provider via phone number 4155773415. The mailing address for Stacey M Rodgers is 1 Deer Park Ln, San Anselmo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey M Rodgers |
|---|---|
| Address | 1 Deer Park Ln, San Anselmo, California |
| Phone Number | 4155773415 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1447471891 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Deer Park Ln |
|---|---|
| City | San Anselmo |
| State | California (CA) |
| Post Code | 949602208 |
| Phone Number | 4155773415 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY20102 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPL201020 | CA | BLUESHIELD |
Post Comment/ Review Below
What is the Stacey M Rodgers's 1447471891?
The Stacey M Rodgers's NPI (National Provider Identifier) Number is 1447471891. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stacey M Rodgers is located?
The Stacey M Rodgers is situated at the following address: 1 Deer Park Ln, San Anselmo, CA, 949602208.
What is Stacey M Rodgers's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacey M Rodgers is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the Stacey M Rodgers's 1447471891 issued?
The Stacey M Rodgers's 1447471891 was issued on 2007-05-02.
When was the information related to Stacey M Rodgers most recently updated or refreshed?
The details pertaining to the Stacey M Rodgers, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1235130048
Address: 1770 N Orange Grove Ave Ste 101, Pomona, CA