Mardi Stacy is a Clinical in , . Mardi Stacy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mardi Stacy is 1417025974. The last update date is 2007-07-08.
Mardi Stacy's current location address is , , . You can contact this provider via phone number . The mailing address for Mardi Stacy is , , . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mardi Stacy |
|---|---|
| Address | , , |
| Phone Number | |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1417025974 |
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| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | |
|---|---|
| City | |
| State | () |
| Post Code | |
| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY-429 |
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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 identifier code issued to Mardi Stacy by the Centers for Medicare & Medicaid Services?
The Mardi Stacy has been assigned the NPI (National Provider Identifier) 1417025974. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mardi Stacy's facilities are geographically located?
The facilities of Mardi Stacy are physically situated at the following location: , , , .
What is the Mardi Stacy's specialty and taxonomy code?
The Mardi Stacy's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Mardi Stacy receive its 1417025974 assignment from the Centers for Medicare & Medicaid Services?
The Mardi Stacy was assigned its 1417025974 by the Centers for Medicare & Medicaid Services on 2006-12-01.
As of what date was the information regarding Mardi Stacy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mardi Stacy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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