Adair, Stacey Ellen
Adair, Stacey Ellen is an sole proprietor health care provider with primary practice located at 4201 Long Beach Blvd 230, Long Beach CA 90807-2007. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Adair, Stacey Ellen can be contacted via phone (562) 988-1000.Contact Information
Primary practice address
4201 Long Beach Blvd 230
Long Beach CA 90807-2007
Phone: (562) 988-1000
Fax: (562) 426-5211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY20048 | California |
Profile Details
| NPI number | 1316018807 |
|---|---|
| LBN Legal business name | Adair, Stacey Ellen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316018807 | NPPES |
| California | MEDICAID | PSY200480 |
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