Individual
DR. STACIE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
199 FRASIER ST SE, MARIETTA, GA 30060-2201
(989) 560-5707
Mailing address
3364 MCEVER PARK CIR, ACWORTH, GA 30101-6648
(989) 560-5707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY04119
GA
103TF0200X
Forensic Psychologist
PSY04119
GA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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