Individual
DR. STACEY DEVAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
565 ROUTE 25A STE 201, MILLER PLACE, NY 11764-2600
(631) 828-0307
Mailing address
72 VAN BUREN ST, PORT JEFF STA, NY 11776-3172
(163) 182-8030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016842
LICENSE
NY
Enumeration date
12/23/2018
Last updated
12/23/2018
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