Becker, Stacy Lyn

Becker, Stacy Lyn is an sole proprietor health care provider with primary practice located at 19231 Victory Blvd Suite 110, Reseda CA 91335-6308. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Becker, Stacy Lyn can be contacted via phone (818) 708-4500.

Contact Information

Primary practice address
19231 Victory Blvd Suite 110 Reseda CA 91335-6308
Phone: (818) 708-4500
Fax: (818) 654-1956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 14119 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY 14119 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PSY 14119 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 14119 California

Profile Details

NPI number 1225128002
LBN Legal business name Becker, Stacy Lyn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jun 9th, 2021 - about 5 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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