Lauderdale, Stacy
Lauderdale, Stacy is an sole proprietor health care provider with primary practice located at 325 Herbertsville Rd , Brick NJ 08724-1713. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Lauderdale, Stacy can be contacted via phone (732) 836-3322.Contact Information
Primary practice address
325 Herbertsville Rd
Brick NJ 08724-1713
Phone: (732) 836-3322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-11-8490 |
Profile Details
| NPI number | 1033486063 |
|---|---|
| LBN Legal business name | Lauderdale, Stacy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2011 |
| Last updated | Nov 18th, 2011 - about 15 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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