| Rena Stacy Psy D Pa | |
|
259 Rippling Ln Winter Park FL 32789-2841 | |
| (561) 702-9216 | |
| Not Available |
| Full Name | Rena Stacy Psy D Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 259 Rippling Ln, Winter Park, Florida |
| Authorized Official Name and Position | Rena Stacy (PSYCHOLOGIST) |
| Authorized Official Contact | 5617029216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rena Stacy Psy D Pa 259 Rippling Ln Winter Park FL 32789-2841 Ph: (561) 702-9216 | Rena Stacy Psy D Pa 259 Rippling Ln Winter Park FL 32789-2841 Ph: (561) 702-9216 |
| NPI Number | 1235381062 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 11/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235381062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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