Graziano, Stacey Allene
Graziano, Stacey Allene is an individual health care provider with primary practice located at 1990 E Lohman Ave Ste 213 , Las Cruces NM 88001-3172. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Graziano, Stacey Allene can be contacted via phone (801) 609-8037.Contact Information
Primary practice address
1990 E Lohman Ave Ste 213
Las Cruces NM 88001-3172
Phone: (801) 609-8037
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 319903 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 9444446-2501 | Utah |
Profile Details
| NPI number | 1245309087 |
|---|---|
| LBN Legal business name | Graziano, Stacey Allene |
| Credentials | SCHOOL PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | May 24th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245309087 | NPPES |
| New Mexico | MEDICAID | 10856552 |
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