Individual
DR. STACEY WARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9500 ETIWANDA AVE, RANCHO CUCAMONGA, CA 91739-9662
(909) 463-5179
Mailing address
9500 ETIWANDA AVE, RANCHO CUCAMONGA, CA 91739-9662
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
06/01/2015
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