Carpenter, Stacey

Carpenter, Stacey is an individual health care provider with primary practice located at 850 N 11Th St , Philadelphia PA 19123-1957. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Carpenter, Stacey can be contacted via phone (215) 769-1103.

Contact Information

Primary practice address
850 N 11Th St Philadelphia PA 19123-1957
Fax: (215) 769-1118
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS017189 Pennsylvania

Profile Details

NPI number 1578813366
LBN Legal business name Carpenter, Stacey
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2012
Last updated Sep 19th, 2012 - about 14 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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