Blase, Stacey Lee

Blase, Stacey Lee is an sole proprietor health care provider with primary practice located at 21 Sherman Ct , Fairfield CT 06824-5825. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blase, Stacey Lee can be contacted via phone (203) 533-9496.

Contact Information

Primary practice address
21 Sherman Ct Fairfield CT 06824-5825
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 021811 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 003696 Connecticut

Profile Details

NPI number 1487918660
LBN Legal business name Blase, Stacey Lee
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2012
Last updated Feb 6th, 2022 - about 4 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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