MS. SHELIA K STACK


Address: 349 Western Dr Apt H, Santa Cruz, CA 95060-3043
Phone: 8314255819

MS. SHELIA K STACK (NPI# 1841454519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841454519
Entity Type Individual
Full Name MS. SHELIA K STACK
Credential PHD
Practice Address 349 Western Dr Apt H
Santa Cruz
CA 95060-3043
Practice Telephone 8314255819
Mailing Telephone 8314255819
Enumeration Date 2008-07-11
Last Update Date 2008-07-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
15084 CA Behavioral Health & Social Service Providers

Office Location

Street Address 349 WESTERN DR APT H
City SANTA CRUZ
State CA
Zip Code 95060-3043

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1396811980 Bret Kale Johnson Psychologist 550 Water St Ste F2, Santa Cruz, CA 95060-4131 2006-11-27
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Competitor

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City SANTA CRUZ
Zip Code 95060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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