Cooper, Stacie Lyn

Cooper, Stacie Lyn is an sole proprietor health care provider with primary practice located at 26891 Spring St , San Juan Capistrano CA 92675-2692. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cooper, Stacie Lyn can be contacted via phone (949) 361-7892.

Contact Information

Primary practice address
26891 Spring St San Juan Capistrano CA 92675-2692
Phone: (949) 361-7892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1003044306
LBN Legal business name Cooper, Stacie Lyn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2009
Last updated Jun 24th, 2009 - about 17 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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