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Individual
STACEY FONSECA
Active
Individual
STACEY FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS02227
RI
103TA0700X
Adult Development & Aging Psychologist
PS02227
RI
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS02227
RI
103TB0200X
Cognitive & Behavioral Psychologist
PSY26644
CA
103TC0700X
Clinical Psychologist
PS02227
RI
103TC0700X
Clinical Psychologist
PSY26644
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PS02227
RI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY26644
CA
Other
Enumeration date
06/03/2011
Last updated
09/29/2026
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