DR. Shirley L. Stack, PH.D.

NPI #1366695447 in Avila Beach, California

Provider Information

NPI Number
1366695447
Entity Type
Individual
Name
DR. Shirley L. Stack, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Nov 3, 2008
Last Updated
Nov 3, 2008

Practice Location

Address
170 VILLAGE CREST
ZIP Code
93424-2442
Phone
(805) 595-7936

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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