Individual
STACEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
403 ANASTASIA BLVD, ST AUGUSTINE, FL 32080-4508
(904) 834-1366
Mailing address
307 TUMBLED STONE WAY, ST AUGUSTINE, FL 32086-0230
(352) 870-8173
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7649
FL
Other
Enumeration date
02/13/2008
Last updated
03/03/2026
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