White, Stacy

White, Stacy is an individual health care provider with primary practice located at 3333 Burnet Ave, Ml 3015 , Cincinnati OH 45229. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. White, Stacy can be contacted via phone (513) 636-4336.

Contact Information

Primary practice address
3333 Burnet Ave, Ml 3015 Cincinnati OH 45229
Phone: (513) 636-4336
Fax: (513) 636-7756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Ohio
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X P.08208 Ohio

Profile Details

NPI number 1144704768
LBN Legal business name White, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2018
Last updated Nov 17th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144704768 NPPES
Ohio MEDICAID 1473276

Popular Providers