Fonseca, Stacey

Fonseca, Stacey is an sole proprietor health care provider with primary practice located at 9200 Colima Rd Suite 206, Whittier CA 90605-1814. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Fonseca, Stacey can be contacted via phone (562) 945-5454.

Contact Information

Primary practice address
9200 Colima Rd Suite 206 Whittier CA 90605-1814
Phone: (562) 945-5454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY26644 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY26644 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY26644 California

Profile Details

NPI number 1467746834
LBN Legal business name Fonseca, Stacey
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2011
Last updated Aug 26th, 2016 - about 9 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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