Anderson, Stacey A.

Anderson, Stacey A. is an sole proprietor health care provider with primary practice located at 11311 S Stephanie Dr , Yuma AZ 85367-5862. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Stacey A. can be contacted via phone (928) 287-5901.

Contact Information

Primary practice address
11311 S Stephanie Dr Yuma AZ 85367-5862
Phone: (928) 287-5901
Fax: (928) 342-1331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4068 Arizona

Profile Details

NPI number 1336274968
LBN Legal business name Anderson, Stacey A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jan 26th, 2010 - about 16 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.

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