Organization
RENA STACY PSY D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENA STACY PSY.D. (PSYCHOLOGIST)
(561) 702-9216
Entity
Organization
Contact information
Practice address
259 RIPPLING LN, WINTER PARK, FL 32789-2841
(561) 702-9216
Mailing address
259 RIPPLING LN, WINTER PARK, FL 32789-2841
(561) 702-9216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
11/21/2008
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