Bruce-Frederiksen, Stacy Elizabeth

Bruce-Frederiksen, Stacy Elizabeth is an sole proprietor health care provider with primary practice located at 3355 Bee Cave Rd Suite 507, West Lake Hills TX 78746-6775. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bruce-Frederiksen, Stacy Elizabeth can be contacted via phone (512) 228-7509.

Contact Information

Primary practice address
3355 Bee Cave Rd Suite 507 West Lake Hills TX 78746-6775
Phone: (512) 228-7509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 31139 Texas

Profile Details

NPI number 1952520231
LBN Legal business name Bruce-Frederiksen, Stacy Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 9th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952520231 NPPES
Texas Other 31139 LSCW LICENSE NUMBER

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