Lima, Stacy Nicole

Lima, Stacy Nicole is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Suite 200, Pacoima CA 91331-1391. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Lima, Stacy Nicole can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Suite 200 Pacoima CA 91331-1391
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1770897555
LBN Legal business name Lima, Stacy Nicole
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2010
Last updated Feb 19th, 2014 - about 10 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 1770897555 NPPES
California MEDICAID 7068
California MEDICAID 6758
California MEDICAID 7420

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