Stackman, Debra
Stackman, Debra is an individual health care provider with primary practice located at 3801 Miranda Avenue Vapahcs 116B, Palo Alto CA 94304. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stackman, Debra can be contacted via phone (650) 493-5000.Contact Information
Primary practice address
3801 Miranda Avenue Vapahcs 116B
Palo Alto CA 94304
Phone: (650) 493-5000
Fax: (650) 858-3948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY15827 | California |
Profile Details
| NPI number | 1104982198 |
|---|---|
| LBN Legal business name | Stackman, Debra |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 9th, 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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