Stacey Allene Graziano in Clovis - School

Stacey Allene Graziano - NPI 1245309087

Stacey Allene Graziano is a School in Clovis, New Mexico. Stacey Allene Graziano practices all healthcare services and medical treatments related to School. The NPI Number for Stacey Allene Graziano is 1245309087. The last update date is 2021-12-10.

Stacey Allene Graziano's current location address is 1600 Sutter Pl, Clovis, New Mexico. You can contact this provider via phone number 5057694490 and fax number 5059350011. The mailing address for Stacey Allene Graziano is 1600 Sutter Pl, Clovis, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Allene Graziano
Address 1600 Sutter Pl, Clovis, New Mexico
Phone Number 5057694490
Fax Number 5059350011
Sole Proprietor N
Credentials SCHOOL PSY

NPI Number Detail

NPI Number 1245309087
Provider Enumeration Date 2006-11-07
Last Updated Date 2021-12-10

Provider Mailing Address Detail

Address 1600 Sutter Pl
City Clovis
State New Mexico (NM)
Post Code 881014611
Phone Number 5057694490
Fax Number 5059350011

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 103Ts0200X
Licence No 319903
Definition:
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10856552 NM --

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FAQs about Stacey Allene Graziano

What is the unique 10-digit identification code assigned to Stacey Allene Graziano by the Centers for Medicare & Medicaid Services?

The Stacey Allene Graziano has been issued the NPI (National Provider Identifier) 1245309087, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Stacey Allene Graziano is physically located?

The Stacey Allene Graziano is physically situated at the following address: 1600 Sutter Pl, Clovis, NM, 881014611.

What is the Stacey Allene Graziano's area of specialization and corresponding taxonomy classification?

The Stacey Allene Graziano's specialty field is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1245309087 to Stacey Allene Graziano?

The Centers for Medicare & Medicaid Services originally issued the 1245309087 to Stacey Allene Graziano on 2006-11-07.

When was the information related to Stacey Allene Graziano most recently updated or refreshed?

The details pertaining to the Stacey Allene Graziano, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-10.

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