Austin, Stacey Mae

Austin, Stacey Mae is an sole proprietor health care provider with primary practice located at 451 N La Salle Dr , Chicago IL 60654-4510. 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. Austin, Stacey Mae can be contacted via phone (312) 566-4478.

Contact Information

Primary practice address
451 N La Salle Dr Chicago IL 60654-4510
Phone: (312) 566-4478
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1861773848
LBN Legal business name Austin, Stacey Mae
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2011
Last updated Apr 12th, 2019 - about 6 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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