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:
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Health care specialties

SpecialtyCodeLicense #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 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 1245309087 NPPES
New Mexico MEDICAID 10856552

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