Individual
STACI EMERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N STUART ST APT 1322, ARLINGTON, VA 22203-4110
(308) 520-2273
Mailing address
10501 OSO RIDGE PL NW, ALBUQUERQUE, NM 87114-4898
(308) 520-2273
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/02/2022
Last updated
08/02/2022
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