Stacy Ann Bray is a Clinical in Joplin, Missouri. Stacy Ann Bray practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Ann Bray is 1689668345. The last update date is 2014-04-11.
Stacy Ann Bray's current location address is 2702 Cunningham Ave, Joplin, Missouri. You can contact this provider via phone number 4177821910 and fax number 4177821844. The mailing address for Stacy Ann Bray is 2702 Cunningham Ave, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Ann Bray |
|---|---|
| Address | 2702 Cunningham Ave, Joplin, Missouri |
| Phone Number | 4177821910 |
| Fax Number | 4177821844 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1689668345 |
|---|---|
| Provider Enumeration Date | 2005-09-08 |
| Last Updated Date | 2014-04-11 |
Provider Mailing Address Detail
| Address | 2702 Cunningham Ave |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648041570 |
| Phone Number | 4177821910 |
| Fax Number | 4177821844 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2005004515 |
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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 |
|---|---|---|---|
| 200972540A | KS | -- | |
| 1689668345 | MO | -- | |
| 1366779100 | MO | GREATER OZARKS RURAL PSYCHOLOG |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stacy Ann Bray by the Centers for Medicare & Medicaid Services?
The Stacy Ann Bray has been issued the NPI (National Provider Identifier) 1689668345, 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 Stacy Ann Bray?
The Stacy Ann Bray is physically situated at 2702 Cunningham Ave, in the city of Joplin, state of MO, with the postal code 648041570.
What is Stacy Ann Bray's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy Ann Bray is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Stacy Ann Bray receive the assignment of its 1689668345 from the Centers for Medicare & Medicaid Services?
The Stacy Ann Bray was issued its 1689668345 by the Centers for Medicare & Medicaid Services on 2005-09-08.
When was the Stacy Ann Bray's information last updated?
The Stacy Ann Bray's information was last updated on 2014-04-11.