Thomas Wood Stacy is a Clinical in Columbia, Maryland. Thomas Wood Stacy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Wood Stacy is 1871591131. The last update date is 2012-09-24.
Thomas Wood Stacy's current location address is 10784 Hickory Ridge Rd, Columbia, Maryland. You can contact this provider via phone number 4109640425 and fax number 4109640515. The mailing address for Thomas Wood Stacy is 10784 Hickory Ridge Rd, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Wood Stacy |
|---|---|
| Address | 10784 Hickory Ridge Rd, Columbia, Maryland |
| Phone Number | 4109640425 |
| Fax Number | 4109640515 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1871591131 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2012-09-24 |
Provider Mailing Address Detail
| Address | 10784 Hickory Ridge Rd |
|---|---|
| City | Columbia |
| State | Maryland (MD) |
| Post Code | 210443646 |
| Phone Number | 4109640425 |
| Fax Number | 4109640515 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1713 |
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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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What is the unique 10-digit identification code assigned to Thomas Wood Stacy by the Centers for Medicare & Medicaid Services?
The Thomas Wood Stacy has been issued the NPI (National Provider Identifier) 1871591131, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Thomas Wood Stacy?
The Thomas Wood Stacy is physically situated at 10784 Hickory Ridge Rd, in the city of Columbia, state of MD, with the postal code 210443646.
What is Thomas Wood Stacy's area of expertise and its corresponding taxonomy classification?
The Thomas Wood Stacy's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871591131 to Thomas Wood Stacy?
The Centers for Medicare & Medicaid Services originally issued the 1871591131 to Thomas Wood Stacy on 2005-07-11.
As of what date were the Thomas Wood Stacy's details last updated?
The information pertaining to the Thomas Wood Stacy, including its address, specialty, and other details, was most recently updated on 2012-09-24.