Rodriguez, Stacey Lynn

Rodriguez, Stacey Lynn is an individual health care provider with primary practice located at 555 N Woodlawn St Ste 3105, Wichita KS 67208-3673. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rodriguez, Stacey Lynn can be contacted via phone (316) 651-1230.

Contact Information

Primary practice address
555 N Woodlawn St Ste 3105 Wichita KS 67208-3673
Phone: (316) 651-1230
Fax: (316) 685-0768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2327 Kansas

Profile Details

NPI number 1972585495
LBN Legal business name Rodriguez, Stacey Lynn
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Aug 22nd, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972585495 NPPES
Kansas Other 071010 BCBS PROVIDER NUMBER

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