Thacker, Stacy Leigh

Thacker, Stacy Leigh is an individual health care provider with primary practice located at 10333 El Camino Real , Atascadero CA 93423-7001. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Thacker, Stacy Leigh can be contacted via phone (805) 468-2000.

Contact Information

Primary practice address
10333 El Camino Real Atascadero CA 93423-7001
Phone: (805) 468-2000
Fax: (805) 466-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY16323 Georgia

Profile Details

NPI number 1407808231
LBN Legal business name Thacker, Stacy Leigh
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
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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