Foerstner, Stacey Brewster

Foerstner, Stacey Brewster is an individual health care provider with primary practice located at 34950 Chardon Rd Suite #202, Willoughby OH 44094-9162. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Foerstner, Stacey Brewster can be contacted via phone (440) 510-5100.

Contact Information

Primary practice address
34950 Chardon Rd Suite #202 Willoughby OH 44094-9162
Phone: (440) 510-5100
Fax: (440) 510-5151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3859 Ohio

Profile Details

NPI number 1740200245
LBN Legal business name Foerstner, Stacey Brewster
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 2nd, 2023 - about 2 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 1740200245 NPPES
Ohio MEDICAID 0664099

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