DR. Stacey L Shipe, PHD

NPI #1164266417 in Ithaca, New York

Provider Information

NPI Number: 1164266417
Entity Type: Individual
Name: DR. Stacey L Shipe, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: PHD
Enumeration Date: Jun 21, 2024
Last Updated: Jun 21, 2024

Practice Location

Address: 16 CINEMA DR
City: Ithaca
State: New York
ZIP Code: 14850-1674
Phone: (327) 471-6339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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