Stacey Kirksey

NPI #1255884193 in Dayton, Ohio

Provider Information

NPI Number: 1255884193
Entity Type: Individual
Name: Stacey Kirksey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Jul 27, 2016
Last Updated: Jul 27, 2016

Practice Location

Address: 1070 BERYL TRL
City: Dayton
State: Ohio
ZIP Code: 45459-3965
Phone: (937) 818-5309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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