Susan L Stacy is a Clinical in Rhinelander, Wisconsin. Susan L Stacy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan L Stacy is 1528153749. The last update date is 2007-07-08.
Susan L Stacy's current location address is 2251 N Shore Dr, Rhinelander, Wisconsin. You can contact this provider via phone number 7153612000 and fax number 7153612877. The mailing address for Susan L Stacy is 2251 N Shore Dr, Rhinelander, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L Stacy |
|---|---|
| Address | 2251 N Shore Dr, Rhinelander, Wisconsin |
| Phone Number | 7153612000 |
| Fax Number | 7153612877 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1528153749 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2251 N Shore Dr |
|---|---|
| City | Rhinelander |
| State | Wisconsin (WI) |
| Post Code | 545018360 |
| Phone Number | 7153612000 |
| Fax Number | 7153612877 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2399057 |
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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 |
|---|---|---|---|
| 43576400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan L Stacy?
The Susan L Stacy has been issued the NPI (National Provider Identifier) 1528153749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Susan L Stacy's physical address?
The Susan L Stacy is physically located at 2251 N Shore Dr, in the city of Rhinelander, WI, with the postal code 545018360.
What is the Susan L Stacy's area of specialization and corresponding taxonomy classification?
The Susan L Stacy's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Susan L Stacy's 1528153749 issued?
The Susan L Stacy's 1528153749 was issued on 2006-10-04.
When was the information regarding Susan L Stacy most recently updated?
The details pertaining to the Susan L Stacy, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.