Stacey Nelson Clemenceau in San Rafael - Clinical
Stacey Nelson Clemenceau - NPI 1265594113
Stacey Nelson Clemenceau is a Clinical in San Rafael, California. Stacey Nelson Clemenceau practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Nelson Clemenceau is 1265594113. The last update date is 2022-02-11.
Stacey Nelson Clemenceau's current location address is 820 Las Gallinas Ave, San Rafael, California. You can contact this provider via phone number 4154443522 and fax number 4154443019. The mailing address for Stacey Nelson Clemenceau is 820 Las Gallinas Ave, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Nelson Clemenceau |
|---|---|
| Address | 820 Las Gallinas Ave, San Rafael, California |
| Phone Number | 4154443522 |
| Fax Number | 4154443019 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265594113 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 820 Las Gallinas Ave |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949033410 |
| Phone Number | 4154443522 |
| Fax Number | 4154443019 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY16162 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Stacey Nelson Clemenceau by the Centers for Medicare & Medicaid Services (CMS)?
The Stacey Nelson Clemenceau has been assigned the NPI (National Provider Identifier) 1265594113. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Stacey Nelson Clemenceau?
The Stacey Nelson Clemenceau is physically situated at 820 Las Gallinas Ave, in the city of San Rafael, state of CA, with the postal code 949033410.
What is Stacey Nelson Clemenceau's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacey Nelson Clemenceau is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date was the 1265594113 assigned to Stacey Nelson Clemenceau?
The Stacey Nelson Clemenceau was issued its 1265594113 on 2006-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Stacey Nelson Clemenceau most recently updated or refreshed?
The details pertaining to the Stacey Nelson Clemenceau, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-11.