Stack, Michelle Elena

Stack, Michelle Elena is an sole proprietor health care provider with primary practice located at 1090 S Tamiami Trl , Sarasota FL 34236-9116. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Stack, Michelle Elena can be contacted via phone (941) 363-0878.

Contact Information

Primary practice address
1090 S Tamiami Trl Sarasota FL 34236-9116
Phone: (941) 363-0878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3230 Connecticut
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1195 New Mexico
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3230 Connecticut
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1195 New Mexico
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3230 Connecticut
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1195 New Mexico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3230 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1195 New Mexico
Behavioral Health & Social Service Providers / Health 103TH0004X 1195 New Mexico
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 3230 Connecticut
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 1195 New Mexico
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 11585 Florida

Profile Details

NPI number 1952671950
LBN Legal business name Stack, Michelle Elena
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2012
Last updated Sep 19th, 2022 - 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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