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Individual

DR. DAVID EDWARD STUCKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
17900 SKY PARK CIR, SUITE 220, IRVINE, CA 92614-6436
(415) 902-6320
Mailing address
17900 SKY PARK CIR, SUITE 220, IRVINE, CA 92614-6436
(415) 902-6320

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21628
CA
103TE1100X
Exercise & Sports Psychologist
PSY21628
CA
103TH0004X
Health Psychologist
PSY21628
CA

Other

Enumeration date
01/03/2008
Last updated
12/06/2013
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