Johnson, Stacy Ann

Johnson, Stacy Ann is an individual health care provider with primary practice located at 850 E Foothill Blvd Ste A , Rialto CA 92376-5230. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Stacy Ann can be contacted via phone (909) 421-9300.

Contact Information

Primary practice address
850 E Foothill Blvd Ste A Rialto CA 92376-5230
Phone: (909) 421-9300
Fax: (909) 421-9411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1356477244
LBN Legal business name Johnson, Stacy Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 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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