Horner, Stacy B
Horner, Stacy B is an individual health care provider with primary practice located at 64 Industrial Park Road , Plymouth MA 02360. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Horner, Stacy B can be contacted via phone (508) 830-1630.Contact Information
Primary practice address
64 Industrial Park Road
Plymouth MA 02360
Phone: (508) 830-1630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1083921266 |
|---|---|
| LBN Legal business name | Horner, Stacy B |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2010 |
| Last updated | Sep 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083921266 | NPPES |
| Massachusetts | Other | 685661 | TUFTS |
| Massachusetts | MEDICAID | 110026265E | TUFTS |
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