Peyton Parris Stacy, BA

NPI #1972937068 in Enid, Oklahoma

Provider Information

NPI Number: 1972937068
Entity Type: Individual
Name: Peyton Parris Stacy, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Credential: BA
Enumeration Date: Aug 26, 2013
Last Updated: Aug 26, 2013

Practice Location

Address: 1625 W GARRIOTT RD
Address 2: STE F
City: Enid
State: Oklahoma
ZIP Code: 73703-5653
Phone: (405) 372-7555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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