Daniel, Stacia Marie

Daniel, Stacia Marie is an sole proprietor health care provider with primary practice located at 21714 Hardy Oak Blvd Unit #104, San Antonio TX 78258-4838. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Daniel, Stacia Marie can be contacted via phone (210) 490-9062.

Contact Information

Primary practice address
21714 Hardy Oak Blvd Unit #104 San Antonio TX 78258-4838
Phone: (210) 490-9062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 30792 Texas
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 30792 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 30792 Texas
Behavioral Health & Social Service Providers / Health Service 103TH0100X 30792 Texas

Profile Details

NPI number 1104849751
LBN Legal business name Daniel, Stacia Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
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 1104849751 NPPES
Texas MEDICAID 1794141

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