Peerson, Stacey

Peerson, Stacey is an individual health care provider with primary practice located at 2230 Stockton Blvd , Sacramento CA 95817-1419. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Peerson, Stacey can be contacted via phone (916) 734-2972.

Contact Information

Primary practice address
2230 Stockton Blvd Sacramento CA 95817-1419
Phone: (916) 734-2972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PL19258 California

Profile Details

NPI number 1114901378
LBN Legal business name Peerson, Stacey
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1114901378 NPPES
California MEDICAID 00PL192580

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