Stacey Dickman

NPI #1720487770 in Saint Marys, Ohio

Provider Information

NPI Number: 1720487770
Entity Type: Individual
Name: Stacey Dickman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Aug 15, 2014
Last Updated: Aug 15, 2014

Practice Location

Address: 1301 W HIGH ST
City: Saint Marys
State: Ohio
ZIP Code: 45885-2077
Phone: (419) 300-1411

Specialties & Taxonomy Codes

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

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